Moore, Patricia Ann

Moore, Patricia Ann is an sole proprietor health care provider with primary practice located at 200 Lilly Rd Ne Ste C , Olympia WA 98506-5080. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Moore, Patricia Ann can be contacted via phone (360) 918-8336.

Contact Information

Primary practice address
200 Lilly Rd Ne Ste C Olympia WA 98506-5080
Phone: (360) 918-8336
Fax: (360) 972-2152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP60119738 Washington

Profile Details

NPI number 1467771436
LBN Legal business name Moore, Patricia Ann
Credentials CDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2010
Last updated Mar 26th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467771436 NPPES
Washington MEDICAID 2115178

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