Moreno, Raymond

Moreno, Raymond is an individual health care provider with primary practice located at 34509 9Th Ave S Ste 204 , Federal Way WA 98003-8708. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Moreno, Raymond can be contacted via phone (253) 835-5510.

Contact Information

Primary practice address
34509 9Th Ave S Ste 204 Federal Way WA 98003-8708
Phone: (253) 835-5510
Fax: (253) 835-5511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60999802 Washington

Profile Details

NPI number 1407314735
LBN Legal business name Moreno, Raymond
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2019
Last updated Sep 13th, 2021 - about 4 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 1407314735 NPPES
Washington MEDICAID 2144135

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