Individual
DR. CAROL A MOORES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, ATTN: MCHJ-PV, TACOMA, WA 98431-0001
(253) 968-4479
(253) 968-4483
Mailing address
1924 15TH AVE NE, ISSAQUAH, WA 98029-7668
(425) 427-9315
(253) 968-4483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420008830
VT
208D00000X
General Practice Physician
0420008830
VT
Other
Enumeration date
02/02/2006
Last updated
09/11/2025
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