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

Specialty	Code	License #	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 3 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

State	Type	Number	Issuer
All States	NPI	1467771436	NPPES
Washington	MEDICAID	2115178

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