Gregory Lynn Moon, rn
Registered Nurse in Vancouver, WA. Individual provider (NPI-1).
NPI number1881968600
StatusActive
Last updated in NPPESFeb 24, 2012
Details
- NPI
- 1881968600
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gregory Lynn Moon
- Credential
- rn
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2012
- Last updated
- Feb 24, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 200742871RN | OR | Yes |
Practice location
7307 Ne 69th StVancouver, WA 98662-4398
Phone 360-258-4920
Mailing address
7307 Ne 69th StVancouver, WA 98662-4398
Phone 360-258-4920
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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