Individual
ERIK MOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6161 NE 175TH ST, STE 203, KENMORE, WA 98028-4800
(425) 482-2453
(425) 482-2452
Mailing address
6161 NE 175TH ST, STE 203, KENMORE, WA 98028-4800
(425) 482-2453
(425) 482-2452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT5791
WA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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