Individual
JANE ANN MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6002 WESTGATE BLVD, SUITE 160, TACOMA, WA 98406-2571
(253) 759-9902
(253) 759-5504
Mailing address
6002 WESTGATE BLVD, SUITE 160, TACOMA, WA 98406-2571
(253) 759-9902
(253) 759-5504
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00020608
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1105436
—
WA
01
—
M07731
REGENCE
WA
Enumeration date
05/10/2006
Last updated
07/08/2007
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