Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moonstone Mental Health

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1083450761

Moonstone Mental Health is a Psychiatric/Mental Health Nurse Practitioner in Tigard, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

7110 SW Fir Loop Ste 145
Tigard, OR 97223-8031
Phone: (503) 389-5882
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1083450761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennie Peterson — Pmhnp-Bc · (503) 443-8339
NPI enumeratedJuly 2, 2024
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025
Mailing address7110 Sw Fir Loop Ste 145, Tigard, OR 97223-8031

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