Moon, Joetta

Moon, Joetta is an individual health care provider with primary practice located at 847 Ne 19Th Ave , Portland OR 97232-2684. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Behavioral Health & Social Service Providers / Mental Health. Nursing Service Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Moon, Joetta can be contacted via phone (503) 238-0769.

Contact Information

Primary practice address
847 Ne 19Th Ave Portland OR 97232-2684
Phone: (503) 238-0769
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 200640273RN Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1861520710
LBN Legal business name Moon, Joetta
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Apr 20th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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