Individual
NICHOLAS MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11695 NE 4TH ST, BELLEVUE, WA 98004-5268
(425) 637-1855
(206) 344-7970
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(425) 637-1855
(206) 344-7970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A102963
CA
207R00000X
Internal Medicine Physician
Primary
MD60286403
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0299108
LABOR & INDUSTRY
WA
05
—
1043443716
—
WA
01
—
P01121109
RAILROAD MEDICARE
WA
Enumeration date
08/28/2009
Last updated
01/09/2025
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