Individual
ERIKA J MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2716 PACIFIC AVE SE STE A, OLYMPIA, WA 98501-8804
(360) 943-8250
Mailing address
2716 PACIFIC AVE SE STE A, OLYMPIA, WA 98501-8804
(360) 943-8250
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00014405
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019432003
GROUP HEALTH
WA
Enumeration date
11/24/2006
Last updated
10/20/2022
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