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Contact Information

KATRINA E MOEN, FNP
291 C ST UNIT 110
WASHOUGAL, WA98671
 Phone: 360-882-2778
 Fax: 360-604-1644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KATRINA E MOEN · (Female)

NPI # 1023364106
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 07/26/2012
Last updated 07/27/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 201250106NP
  • WA License # 60301097
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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