IndividualActive
Joetta Moon, RN
NPI 1861520710 · Adult Psychiatric/Mental Health Registered Nurse · Portland, OR
Provider details
- NPI number
- 1861520710
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 200640273RN (OR)
Specialties & taxonomies
Nursing Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
847 Ne 19th Ave
Portland, OR 97232-2684
Phone: (503) 238-0769
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8459
Portland, OR 97207-8459
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2015-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.