Individual provider · Type 1 NPI

Kayla Moody, PA

Medical Physician Assistant · Tualatin, OR

NPI number 1699241125 Active

Practice location

7575 SW Mohawk St
Tualatin, OR 97062-9189

Mailing address

4351 SE 28th Pl
Portland, OR 97202-3519

Other practice locations

  • 6370 SW Borland Rd Ste 100, Tualatin, OR 97062-9768 · (503) 218-1105
  • 7401 SW Washo Ct Ste 100, Tualatin, OR 97062-8342 · (503) 665-0836
  • 1508 Division St Ste 105, Oregon City, OR 97045-1584 · (503) 665-0836

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA190342 (OR)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1699241125

Kayla Moody, PA's National Provider Identifier is 1699241125, issued on Oct 23, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tualatin, OR. The record was last updated on Oct 23, 2026.