1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Registered Nurse
  6. NPI Profile

JOETTA MOON RN
NPI 1861520710
Registered Nurse - Psychiatric/Mental Health, Adult in Portland, OR

Active since March 01, 2007
847 NE 19TH AVE, PORTLAND, OR 97232(503) 238-0769 Get Directions Write a Review

NPPES record last updated: April 20, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Joetta Moon Rn NPPES

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

JOETTA MOON RN (NPI 1861520710) is an individual psychiatric/mental health, adult provider in Portland, Oregon, licensed in Oregon (200640273RN) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1861520710
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameJOETTA MOONCredential: RN
Location Address847 NE 19TH AVEPortland, OR 97232-2684
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 238-0769
Sole ProprietorNo
Enumeration DateMarch 1, 2007
Last NPPES UpdateApril 20, 2015
✔ NPI 1861520710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in OR · 200640273RN
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
847 NE 19TH AVE, Portland, OR 97232
Open in Google Maps ↗

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.

DEANNA GOLD M.A.
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 891-9937
VALERIY IGUMNOV RN
Registered Nurse
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
HEAVEN WOODS
Community Health Worker
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 238-0769
MR. DEREK SUN
Adult Companion
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
NATALIE TAYLOR
Adult Companion
847 NE 19TH AVE, STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
ANDREW VOGLER
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
SHANA AXTHELM
Adult Companion
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 760-9606
JOSEPH WARREN LASAC
Case Manager/Care Coordinator
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 238-0769

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 Joetta Moon's NPI number?

The NPI number for Joetta Moon is 1861520710. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Joetta Moon located?

Joetta Moon practices at 847 NE 19th Ave, Portland, OR 97232. The listed phone number is (503) 238-0769.

What is Joetta Moon's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

When was this NPI record last updated?

The NPPES record for Joetta Moon was last updated on April 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.