Moore, Michael Roy
Moore, Michael Roy is an individual health care provider with primary practice located at 301 W Poplar St Ste 210 , Walla Walla WA 99362-2800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Moore, Michael Roy can be contacted via phone (509) 897-5788.Contact Information
Primary practice address
301 W Poplar St Ste 210
Walla Walla WA 99362-2800
Phone: (509) 897-5788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 33095 | Colorado |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | G85748 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | MD61324152 | Washington |
Profile Details
| NPI number | 1235132978 |
|---|---|
| LBN Legal business name | Moore, Michael Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2005 |
| Last updated | Oct 25th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235132978 | NPPES |
| California | MEDICAID | 00G857480 |
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