Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moon Mountain Family Medicine Incorporated

Organization Family Medicine Physician · NPI 1346189669

Moon Mountain Family Medicine Incorporated is a Family Medicine Physician in Eugene, Oregon. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

258 E 10th Ave Ste 103
Eugene, OR 97401-3255
Phone: (541) 224-8283
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1346189669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Davalos — Owner/Provider · (541) 224-8283
NPI enumeratedMarch 25, 2026
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address258 E 10th Ave Ste 103, Eugene, OR 97401-3255

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