Individual
MS. DIANA LYNNE MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
9155 SW BARNES RD, STE 317, PORTLAND, OR 97225-6625
(503) 216-1150
(503) 216-1095
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
200040226RN
OR
364S00000X
Clinical Nurse Specialist
Primary
200670014CNS
OR
364SN0800X
Neuroscience Clinical Nurse Specialist
2000670014CNS
OR
364SN0800X
Neuroscience Clinical Nurse Specialist
200670014CNS
OR
Other
Enumeration date
02/23/2007
Last updated
05/18/2010
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