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NPI Code Detail

MEDICARE: ZOE MOSS

MEDICARE: ZOE MOSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianFM0174401WI
22084P0800XPsychiatry PhysicianDO215083OR
32084P0800XPsychiatry PhysicianDO.OP70074850WA

General Provider Information

NPI Number : 1205377181
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOE MOSS
Provider Business Mailing Address
First Line : 500 NE MULTNOMAH ST STE 100
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2099
Country : US
Telephone Number : 800-813-2000
Fax Number :
Provider Business Practice Location Address
First Line : 3550 N INTERSTATE AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97227-1196
Country : US
Telephone Number : 971-442-0645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2017
Last Update Date : 03/04/2026

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Directions to “ ZOE MOSS ” Practice Location

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