IndividualActive
Andrea Mooney
NPI 1053177535 · Infusion Therapy Registered Nurse · Portland, OR
Provider details
- NPI number
- 1053177535
- Entity type
- Individual
- Primary specialty
- Infusion Therapy Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 200542374RN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
5721 Ne 138th Ave
Portland, OR 97230-3495
Phone: (503) 261-2090
Fax: (503) 261-2040
Approximate (ZIP-level) locationGet directions
Mailing address
12006 Se Bush St
Portland, OR 97266-2142
Registry dates
- Enumerated
- 2024-02-22
- Last updated
- 2024-02-22
- Certified
- 2024-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.