Individual
L KATHERINE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP,MSN
Contact information
Practice address
406 SE 131ST AVE STE C, VANCOUVER, WA 98683-4004
(360) 816-0277
(360) 567-4004
Mailing address
6715 NE 63RD ST STE 436, VANCOUVER, WA 98661-1980
(360) 816-0277
(360) 567-4004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005294
WA
Other
Enumeration date
07/11/2006
Last updated
02/06/2022
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