Individual
KRISTA MOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
8206 SE 7TH AVE, PORTLAND, OR 97202-6429
(480) 234-1730
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024172646
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
201602969CRNA
OR
Other
Enumeration date
03/02/2015
Last updated
11/21/2023
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