Individual
JENNIFER DIANE MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1550 N 115TH ST, NORTHWEST HOSPITAL EMERGENCY DEPARTMENT, A-150, SEATTLE, WA 98133-8401
(206) 364-0500
Mailing address
11139 CHAMPAGNE POINT RD NE, KIRKLAND, WA 98034-3409
(425) 954-5156
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37696
IA
207P00000X
Emergency Medicine Physician
Primary
MD00049401
WA
207P00000X
Emergency Medicine Physician
R-7626
IA
Other
Enumeration date
05/17/2007
Last updated
11/30/2014
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