Individual
PAMELA KIM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7210 40TH ST W, UNIVERSITY PLACE, WA 98466-4319
(253) 564-0170
(253) 207-4240
Mailing address
7210 40TH ST W, UNIVERSITY PLACE, WA 98466-4319
(253) 564-0170
(253) 207-4240
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00047696
WA
208M00000X
Hospitalist Physician
L7053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057109
—
WA
Enumeration date
02/17/2006
Last updated
02/19/2024
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