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

Tanner Jacob Mooney

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366006058

Tanner Jacob Mooney is a Student in an Organized Health Care Education/Training Program in Lebanon, Oregon. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

200 Mullins Dr
Lebanon, OR 97355-3983
Phone: (541) 259-0235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1366006058
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2019
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address200 Mullins Dr, Lebanon, OR 97355-3983

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