Keely Moon
Registered Nurse, Continuing Education/Staff Development in Portland, OR. Individual provider (NPI-1).
NPI number1245189752
StatusActive
Last updated in NPPESJan 27, 2026
Details
- NPI
- 1245189752
- Entity type
- Individual (NPI-1)
- Name
- Keely Moon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2026
- Certification date
- Jan 27, 2026
- Last updated
- Jan 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC1600X | Registered Nurse, Continuing Education/Staff Development | 201341300RN | OR | Yes |
Practice location
11611 Ne Ainsworth CirPortland, OR 97220-9017
Phone 971-917-8127
Mailing address
11611 Ne Ainsworth CirPortland, OR 97220-9017
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