Individual
JULIA F MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
884 W PARK AVE, PORT TOWNSEND, WA 98368-2273
(360) 385-0321
(360) 379-5534
Mailing address
PO BOX 565, PORT TOWNSEND, WA 98368-0565
(360) 385-0321
(360) 379-5534
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
17254-020
WI
2084P0804X
Child & Adolescent Psychiatry Physician
17254-020
WI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD00015945
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34260900
—
WI
01
—
42572
NETWORK HEALTH PLAN
—
01
—
A05208
CIGNA
—
Enumeration date
07/21/2006
Last updated
02/28/2013
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