Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Edward Moon, PA-C, MPH

Individual provider Medical Physician Assistant · NPI 1770031221

Jordan Edward Moon, PA-C, MPH is a Physician Assistant in Springfield, Oregon. Qualified in 2016, 10 years ago. Practices with Northwest Medical Homes, LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

2280 Marcola Rd
Springfield, OR 97477-2594
Phone: (541) 747-4300
Fax: (541) 747-0655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA179905 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA179905 (OR)

Record details

NPI number1770031221
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MPH
Sole proprietorNo
NPI enumeratedSeptember 13, 2016
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northwest Medical Homes, Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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