Individual
MR. DAVID MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7369
(360) 993-3000
(360) 993-3047
Mailing address
PO BOX 1337, VANCOUVER, WA 98666-1337
(360) 993-3000
(360) 993-3047
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60522936
WA
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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