Moore, Ryan Patrick

Moore, Ryan Patrick is an individual health care provider with primary practice located at 34612 6Th Ave S Ste 300 , Federal Way WA 98003-8723. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Moore, Ryan Patrick can be contacted via phone (253) 838-8552.

Contact Information

Primary practice address
34612 6Th Ave S Ste 300 Federal Way WA 98003-8723
Phone: (253) 838-8552
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.0777859 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA60803041 Washington

Profile Details

NPI number 1568973576
LBN Legal business name Moore, Ryan Patrick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2017
Last updated Dec 7th, 2020 - 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 1568973576 NPPES
Washington MEDICAID 2096256

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