Individual
MS. CHRISTY MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6831
(206) 625-7259
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6831
(206) 625-7259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10005270
WA
363AM0700X
Medical Physician Assistant
TA10005270
WA
363AS0400X
Surgical Physician Assistant
Primary
PA10005270
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7471MO
BLUE SHIELD #
WA
05
—
8502692
—
WA
Enumeration date
09/11/2007
Last updated
10/13/2022
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