Joetta Moon, RN - Counselor in Portland, OR

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Joetta Moon, RN is a Registered Nurse - Psychiatric/mental Health, Adult based in Portland, Oregon. Joetta Moon is licensed to practice in Oregon (license number 200640273RN) and her current practice location is 847 Ne 19th Ave, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 238-0769.

NPI number for Joetta Moon is 1861520710 and her current mailing address is Po Box 8459, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861520710.

Contact Information

Joetta Moon, RN
847 Ne 19th Ave,
Portland, OR 97232-2684
(503) 238-0769
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJoetta Moon
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health, Adult
Location847 Ne 19th Ave, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861520710
  • Provider Enumeration Date: 03/01/2007
  • Last Update Date: 04/20/2015

Medical Identifiers

Medical identifiers for Joetta Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861520710NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (NU)Secondary
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult 200640273RN (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joetta Moon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Joetta Moon, RN
Po Box 8459,
Portland, OR 97207-8459

Ph: (503) 238-0769		Joetta Moon, RN
847 Ne 19th Ave,
Portland, OR 97232-2684

Ph: (503) 238-0769

Reviews and Comments



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