Individual provider · Type 1 NPI

Joetta Moon, RN

Adult Psychiatric/Mental Health Registered Nurse · Portland, OR

NPI number 1861520710 Active

Practice location

847 NE 19th Ave
Portland, OR 97232-2684

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse Primary 163WP0809X200640273RN (OR)
Mental Health Counselor 101YM0800XNone listed

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1861520710

Joetta Moon, RN's National Provider Identifier is 1861520710, issued on Mar 1, 2007. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Portland, OR. The record was last updated on Apr 20, 2015.