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TERRY MOODY
NPI 1639946148
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since December 05, 2023
4651 NE KILLINGSWORTH ST UNIT 24, PORTLAND, OR 97218(520) 624-0927 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Terry Moody NPPES

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

TERRY MOODY (NPI 1639946148) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1639946148
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTERRY MOODY
Location Address4651 NE KILLINGSWORTH ST UNIT 24Portland, OR 97218-1950
Mailing Address4035 Ne Sandy Blvd Ste 200Portland, OR 97212-5331
Phone(520) 624-0927
Sole ProprietorYes
Enumeration DateDecember 5, 2023
NPPES CertifiedDecember 2, 2023
✔ NPI 1639946148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4651 NE KILLINGSWORTH ST UNIT 24, Portland, OR 97218
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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 Terry Moody's NPI number?

The NPI number for Terry Moody is 1639946148. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Where is Terry Moody located?

Terry Moody practices at 4651 NE Killingsworth St Unit 24, Portland, OR 97218. The listed phone number is (520) 624-0927.

What is Terry Moody's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Terry Moody was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.