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

Kelsey-Jo Audrey Moss, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1477197705

Kelsey-Jo Audrey Moss, CPNP-PC is a Pediatric Nurse Practitioner in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019

Practice location Address checks out

704B NE 62nd Ave
Portland, OR 97213-4351
Phone: (971) 400-7350
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 201907307NP-PP (OR)

Record details

NPI number1477197705
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedOctober 30, 2019
Last updated in NPPESOctober 30, 2019

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