Individual
DR. ROGER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
509 OLIVE WAY, SUITE 1401, SEATTLE, WA 98101-1720
(206) 903-1232
Mailing address
PO BOX 10195, BAINBRIDGE ISLAND, WA 98110-0195
(206) 903-1232
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
RC00030855
WA
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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