Moore, Victoria A
Moore, Victoria A is an individual health care provider with primary practice located at 209 Lilly Rd Ne , Olympia WA 98506-5197. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Moore, Victoria A can be contacted via phone (360) 413-8250.Contact Information
Primary practice address
209 Lilly Rd Ne
Olympia WA 98506-5197
Phone: (360) 413-8250
Fax: (360) 413-8830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10003474 | Washington |
Profile Details
| NPI number | 1912988650 |
|---|---|
| LBN Legal business name | Moore, Victoria A |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1912988650 | NPPES |
| Washington | Other | PA10003474 | PA LISENCE |
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