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Contact Information

DONALD E MOULTON, RN OTC
1900 WOODLAND DR
COOS BAY, OR97420-0000
 Phone: 541-267-5151
 Fax: 541-266-4541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician

374700000X
 

Orthopedic

163WX0800X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for DONALD E MOULTON · (Male)

NPI # 1538294897
Status Active
Credentials RN OTC
Entity Individual
Enumeration date 02/23/2007
Last updated 03/23/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 083026191RN
  • OR License # 930064
  • OR License # 930064 OT-SC
  • OR Other 1407812365 GROUP NPI NUMBER
  • OR Other 930635514 GROUP TAX ID FOR BILLING
  • OR Other R0000WFBTV MEDICARE GROUP PIN NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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