Individual provider · Type 1 NPI

Keely Moon

Continuing Education/Staff Development Registered Nurse · Portland, OR

NPI number 1245189752 Active

Practice location

11611 NE Ainsworth Cir
Portland, OR 97220-9017

Specialties and licenses

TaxonomyCodeLicense
Continuing Education/Staff Development Registered Nurse Primary 163WC1600X201341300RN (OR)

Continuing Education/Staff Development Registered Nurse: Definition to come...

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About NPI 1245189752

Keely Moon's National Provider Identifier is 1245189752, issued on Jan 27, 2026. The primary taxonomy on file is Continuing Education/Staff Development Registered Nurse (163WC1600X), and the practice location is in Portland, OR. The record was last updated on Jan 27, 2026.