KEELY MOON
NPI 1245189752
Registered Nurse - Continuing Education/Staff Development in Portland, OR

Active since January 27, 2026
11611 NE AINSWORTH CIR, PORTLAND, OR 97220(971) 917-8127 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keely Moon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEELY MOON (NPI 1245189752) is an individual continuing education/staff development provider in Portland, Oregon, licensed in Oregon (201341300RN) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1245189752
Entity TypeIndividualFemale
Primary Taxonomy163WC1600X
Provider Legal NameKEELY MOON
Location Address11611 NE AINSWORTH CIRPortland, OR 97220-9017
Mailing Address11611 Ne Ainsworth CirPortland, OR 97220-9017
Sole ProprietorNo
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
NPI 1245189752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Continuing Education/Staff DevelopmentNursing Service Providers
Taxonomy Code163WC1600X
License Licensed in OR · 201341300RN
11611 NE AINSWORTH CIR, Portland, OR 97220

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
11611 NE AINSWORTH CIR
PORTLAND, OR 97220
Registered Nurse (School)
11611 NE AINSWORTH CIR
PORTLAND, OR 97220
Registered Nurse (School)
11611 NE AINSWORTH CIR
PORTLAND, OR 97220
Registered Nurse
11611 NE AINSWORTH CIR
PORTLAND, OR 97220
Pediatrics
11611 NE AINSWORTH CIR
PORTLAND, OR 97220
Registered Nurse (School)
11611 NE AINSWORTH CIR
PORTLAND, OR 97220
Local Education Agency (LEA)
11611 NE AINSWORTH CIR
PORTLAND, OR 97220
Speech-Language Pathologist
11611 NE AINSWORTH CIR
PORTLAND, OR 97220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keely Moon's NPI number?

The NPI number for Keely Moon is 1245189752. It was assigned to this individual provider in the NPPES registry on January 27, 2026.

Where is Keely Moon located?

Keely Moon practices at 11611 NE Ainsworth Cir, Portland, OR 97220. The listed phone number is (971) 917-8127.

What is Keely Moon's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Continuing Education/Staff Development, with taxonomy code 163WC1600X.

When was this NPI record last updated?

The NPPES record for Keely Moon was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.