Healthcare Provider Details
I. General information
NPI: 1497026272
Provider Name (Legal Business Name): MOXIE JEAN LOEFFLER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/25/2012
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2401 RIVER RD STE 200
EUGENE OR
97404-5417
US
IV. Provider business mailing address
1 MEDICAL CENTER DR DH INTERNAL MEDICINE
LEBANON NH
03756-1000
US
V. Phone/Fax
- Phone: 541-916-7025
- Fax:
- Phone: 603-653-9500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 20A11420 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RA0401X |
| Taxonomy | Addiction Medicine (Internal Medicine) Physician |
| License Number | DO174815 |
| License Number State | OR |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 16797 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: