Individual
DR. DEBRA Y MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
17645 NW SAINT HELENS RD, PORTLAND, OR 97231-1729
(503) 621-1069
(503) 621-0200
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(971) 260-0355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201901568RN
OR
163W00000X
Registered Nurse
RN61511463
WA
363L00000X
Nurse Practitioner
AP61511474
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201910661NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2297577
—
WA
05
—
500816809
—
OR
Enumeration date
01/30/2012
Last updated
03/12/2025
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