Provider Demographics
NPI:1497052393
Name:MULLER, ZOE (MD)
Entity Type:Individual
Prefix:DR
First Name:ZOE
Middle Name:
Last Name:MULLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 COMMERCIAL ST SE STE 201
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-4586
Mailing Address - Country:US
Mailing Address - Phone:908-405-8741
Mailing Address - Fax:
Practice Address - Street 1:2720 COMMERCIAL ST SE STE 201
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-4586
Practice Address - Country:US
Practice Address - Phone:908-405-8741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME120885207RI0200X
282N00000X
ORMD184756207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
No282N00000XHospitalsGeneral Acute Care HospitalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013188600Medicaid
FLHY091ZMedicare PIN