Individual
KELYN LORRAINE MOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9427 SW BARNES RD STE 394, PORTLAND, OR 97225-6616
(503) 297-6511
(503) 297-5231
Mailing address
3934 COHO CIR, FOREST GROVE, OR 97116-3095
(503) 956-8020
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
036407RN
OR
163WS0121X
Plastic Surgery Registered Nurse
036407RN
OR
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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