Moore, Pamela Kim
Moore, Pamela Kim is an individual health care provider with primary practice located at 7210 40Th St W , University Place WA 98466-4319. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Moore, Pamela Kim can be contacted via phone (253) 564-0170.Contact Information
Primary practice address
7210 40Th St W
University Place WA 98466-4319
Phone: (253) 564-0170
Fax: (253) 207-4240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | L7053 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00047696 | Washington |
Profile Details
| NPI number | 1700851391 |
|---|---|
| LBN Legal business name | Moore, Pamela Kim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Feb 19th, 2024 - about 10 months 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 | 1700851391 | NPPES |
| Washington | MEDICAID | 1057109 |
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