Kelyn Lorraine Moser, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

036407RN Issued in OR

Practice address

9427 SW Barnes Rd Ste 394
Portland, OR 97225-6616

Phone

(503) 297-6511

Fax

(503) 297-5231

NPI assigned

Oct 21, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1083331920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 COHO CIR",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971163095",
            "telephone_number": "503-956-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9427 SW BARNES RD STE 394",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256616",
            "telephone_number": "503-297-6511",
            "fax_number": "503-297-5231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Yamhill County Public Health Dept.",
            "address_2": "412 Ford St.",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "98128",
            "country_code": "US",
            "telephone_number": "505-434-7525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSER",
        "first_name": "KELYN",
        "middle_name": "LORRAINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "OR",
            "license": "036407RN",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OR",
            "license": "036407RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Moseley, PT, LMT
• Renee Cecilia Moseley, LCSW
• Catlin Marie Moser
• Cherylynn Andres Moser, LPC, LAT
• Jeffrey Moser, MD
• Lindsey Moser, PHARMD
• Diana Lynne Moses, RN, CNS
• Gail Anne Moses, MD
• Lynda Moses, RN
• Erika Maria Moseson, MD

• General Practice Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.