Individual
MELISSA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16821 SE MCGILLIVRAY BLVD STE 104, VANCOUVER, WA 98683-0401
(360) 514-2048
Mailing address
16821 SE MCGILLIVRAY BLVD STE 104, VANCOUVER, WA 98683-0401
(360) 514-2048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT60159557
WA
2251X0800X
Orthopedic Physical Therapist
Primary
PT60159557
WA
Other
Enumeration date
05/10/2025
Last updated
05/29/2025
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