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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235132978 NPPES
California MEDICAID 00G857480

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