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MOON MOUNTAIN FAMILY MEDICINE INCORPORATED
NPI 1346189669
Family Medicine in Eugene, OR

Active since March 25, 2026
258 E 10TH AVE STE 103, EUGENE, OR 97401(541) 224-8283 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Moon Mountain Family Medicine Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOON MOUNTAIN FAMILY MEDICINE INCORPORATED (NPI 1346189669) is a healthcare organization registered as a family medicine in Eugene, Oregon and active in the NPI registry since March 2026. The organization lists Amanda Davalos, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1346189669
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOON MOUNTAIN FAMILY MEDICINE INCORPORATED
Location Address258 E 10TH AVE STE 103Eugene, OR 97401-3255
Mailing Address258 E 10th Ave Ste 103Eugene, OR 97401-3255 · (541) 224-8283
Phone(541) 224-8283
Organization SubpartNo
Authorized OfficialAmanda DavalosOwner/provider · (541) 224-8283
Enumeration DateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1346189669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
258 E 10TH AVE STE 103, Eugene, OR 97401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moon Mountain Family Medicine Incorporated's NPI number?

The NPI number for Moon Mountain Family Medicine Incorporated is 1346189669. It was assigned to this organization in the NPPES registry on March 25, 2026.

Where is Moon Mountain Family Medicine Incorporated located?

Moon Mountain Family Medicine Incorporated is located at 258 E 10th Ave Ste 103, Eugene, OR 97401. The listed phone number is (541) 224-8283.

What is Moon Mountain Family Medicine Incorporated's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Moon Mountain Family Medicine Incorporated was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.