TANNER JACOB MOONEY
NPI 1366006058
Student in an Organized Health Care Education/Training Program in Lebanon, OR

Active since April 28, 2019
200 MULLINS DR, LEBANON, OR 97355(541) 259-0235 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2022, Feb 13, 2020 (2 updates tracked since 2020).

About Tanner Jacob Mooney NPPES

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

TANNER JACOB MOONEY (NPI 1366006058) is an individual student in an organized health care education/training program in Lebanon, Oregon and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1366006058
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTANNER JACOB MOONEY
Location Address200 MULLINS DRLebanon, OR 97355-3983
Mailing Address200 Mullins DrLebanon, OR 97355-3983 · (541) 259-0235
Sole ProprietorNo
Enumeration DateApril 28, 2019
Last NPPES UpdateDecember 19, 20222 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
NPI 1366006058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 MULLINS DR, Lebanon, OR 97355

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
200 MULLINS DR
LEBANON, OR 97355
Psychiatry & Neurology (Psychiatry)
200 MULLINS DR
LEBANON, OR 97355
Family Medicine
200 MULLINS DR
LEBANON, OR 97355
Internal Medicine
200 MULLINS DR
LEBANON, OR 97355
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355

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 Tanner Mooney's NPI number?

The NPI number for Tanner Mooney is 1366006058. It was assigned to this individual provider in the NPPES registry on April 28, 2019.

Where is Tanner Mooney located?

Tanner Mooney practices at 200 Mullins Dr, Lebanon, OR 97355. The listed phone number is (541) 259-0235.

What is Tanner Mooney's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tanner Mooney was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.