Individual
DR. WILLOW MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, ND
Contact information
Practice address
4916 NE ST JOHNS RD, VANCOUVER, WA 98661-2547
(360) 694-4811
(360) 263-4351
Mailing address
PO BOX 560, LA CENTER, WA 98629-0560
(425) 314-2745
(360) 263-4351
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
435
MT
111N00000X
Chiropractor
CH60062846
WA
175F00000X
Naturopath
570
OR
175F00000X
Naturopath
Primary
NT00001012
WA
Other
Enumeration date
10/09/2007
Last updated
09/02/2010
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