Individual
JAMES E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4300 AURORA AVE N, SUITE 100, SEATTLE, WA 98103
(206) 859-5030
(206) 859-5031
Mailing address
4300 AURORA AVE N, SUITE 100, SEATTLE, WA 98103
(206) 859-5030
(206) 859-5031
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00001021
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200922
WORKERS COMP
WA
01
—
1263451
UNITED HEALTHCARE
WA
Enumeration date
09/14/2006
Last updated
12/03/2007
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