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

Individual provider Registered Dietitian · NPI 1679891501

Jodi Rae Moon, RD, CDE is a Registered Dietitian OR Nutrition Professional in Oregon City, Oregon. Qualified in 1990, 36 years ago. Practices with Providence Health and Services Oregon, a 164-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
36
Licensed in
OR
In the registry since
2010
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

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Practice location Address checks out

519 15th St
Oregon City, OR 97045-1448
Phone: (503) 650-6822
Fax: (503) 650-6876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 674 (OR)

Record details

NPI number1679891501
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CDE
Sole proprietorNo
NPI enumeratedMay 17, 2010
Last updated in NPPESMay 17, 2010
Mailing address519 15th St, Oregon City, OR 97045-1448

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Providence Health And Services Oregon — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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