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

Marie Elise Moulton, MD

Individual provider Internal Medicine Physician · NPI 1568969574

Marie Elise Moulton, MD is an Internal Medicine in Bend, Oregon. Graduated from East Tennessee State University Quillen College of Medicine in 2018, 8 years ago. Practices with St Charles Health System Inc, a 177-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
UT
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 NE Neff Rd
Bend, OR 97701-6015
Phone: (754) 706-6892
Fax: (541) 706-6813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50 N Medical Dr, Salt Lake City, UT 84132-0001 — (801) 581-2121

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 11405445-1205 (UT)

Record details

NPI number1568969574
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2018
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice St Charles Health System Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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