Individual
JOY ELIZABETH MOCERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
15950 SW MILLIKAN WAY, BEAVERTON, OR 97003-5170
(503) 646-0161
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1999
(503) 221-0161
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
201042948RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201908666NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP60968858
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2136246
—
WA
Enumeration date
07/02/2018
Last updated
06/04/2021
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