Individual
JAMES WILLIAM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 E HASTINGS RD STE J, SPOKANE, WA 99218-4901
(509) 466-4379
(509) 466-4407
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003916
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295718146
—
WA
05
—
8333619
—
WA
01
—
P01853416
RR MEDICARE
WA
Enumeration date
11/23/2005
Last updated
07/21/2022
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