Donald E Moulton, RN OTC

NPI #1538294897 in Coos Bay, Oregon

Provider Information

NPI Number: 1538294897
Entity Type: Individual
Name: Donald E Moulton, RN OTC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician
Credential: RN OTC
Enumeration Date: Feb 23, 2007
Last Updated: Mar 23, 2010

Practice Location

Address: 1900 WOODLAND DR
City: Coos Bay
State: Oregon
ZIP Code: 97420-0000
Phone: (541) 267-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Registered Nurse - Orthopedic — Orthopedic	163WX0800X
Technician	374700000X	Primary

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