Organization
MOORE CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ROBIN HOUDE (OFFICE MANAGER)
(360) 352-0211
Entity
Organization
Contact information
Practice address
221 KENYON ST NW STE 201, 221 KENYON ST NW STE 201, OLYMPIA, WA 98502-4552
(360) 352-0211
(360) 352-6226
Mailing address
1401 MARVIN RD NE, LACEY, WA 98516-5749
(360) 491-5055
(360) 491-5890
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH 60092035
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821220369
—
WA
Enumeration date
05/19/2014
Last updated
05/19/2014
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