Individual
KELLIE JOAN WILCOX MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2614 E ST, WASHOUGAL, WA 98671-1714
(360) 207-0134
Mailing address
400 BALKY HILL RD, TWISP, WA 98856-9762
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
60880074
WA
175F00000X
Naturopath
ND1552
CA
175F00000X
Naturopath
Primary
—
WA
Other
Enumeration date
07/02/2018
Last updated
07/23/2026
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