Individual
PATRICIA A MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9430 NE VANCOUVER MALL DR, VANCOUVER, WA 98662-6172
(360) 253-6947
(360) 448-6324
Mailing address
9430 NE VANCOUVER MALL DR, VANCOUVER, WA 98662-6172
(360) 253-6947
(360) 448-6324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60462003
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010961
BCBS
MT
05
—
0019656
—
MT
Enumeration date
07/03/2006
Last updated
11/16/2015
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