Individual
MISS VIVIAN MARIE MOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
715 S COWLEY ST STE 228, SPOKANE, WA 99202-1383
(509) 473-6706
(509) 473-6704
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-0001
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00023674
WA
208100000X
Physical Medicine & Rehabilitation Physician
MD00023674
WA
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
MD00023674
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011435
—
WA
01
—
78446
LABOR 7 INDUSTRIES
WA
Enumeration date
12/04/2006
Last updated
11/26/2025
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