Individual
MR. SHAWN WILLIAM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104
(206) 744-3000
Mailing address
325 9TH AVE, SEATTLE, WA 98104
(206) 744-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60188749
WA
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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