Individual
DR. KATHLEEN MARIE MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9300 SE 91ST AVE, SUITE 200, HAPPY VALLEY, OR 97086-3749
(503) 261-1171
Mailing address
9300 SE 91ST AVE, SUITE 200, HAPPY VALLEY, OR 97086-3749
(503) 261-1171
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00038960
WA
208000000X
Pediatrics Physician
Primary
MD27072
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8257081
—
WA
Enumeration date
10/24/2006
Last updated
03/05/2026
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