Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Moon Mountain Family Medicine Incorporated

Organization Family Medicine Physician · NPI 1346189669

Moon Mountain Family Medicine Incorporated provides Family Medicine Physician services 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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