# MOORE WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649979329
- **Authorized official:** COLLEEN MARIE-KIESER MOORE (AO)
- **Authorized official phone:** (509) 903-8766

## Contact information

- **Practice address:** 2121 E 62ND AVE, SPOKANE, WA 99223-6806
- **Practice address phone:** (509) 903-8766
- **Practice address fax:** (509) 931-0491
- **Mailing address:** PO BOX 30001, SPOKANE, WA 99223-3000
- **Mailing address phone:** (509) 903-8766
- **Mailing address fax:** (509) 931-0491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/01/2023
- **Last updated:** 07/06/2026