Individual
DR. MICHELLE M MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 386-6000
(206) 386-2625
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
OP60359939
WA
2084N0400X
Neurology Physician
OP60359939
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659427268
—
WA
05
—
2028165
—
WA
Enumeration date
01/26/2007
Last updated
05/15/2026
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