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NPI Code Detail

MEDICARE: VIRGINIA MOORE

MEDICARE: VIRGINIA MOORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor61597872WA

General Provider Information

NPI Number : 1679960082
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA MOORE
Provider Business Mailing Address
First Line : 19980 10TH AVE NE STE 204G
Second Line :
City : POULSBO
State : WA
Zip : 98370-6431
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 522 W RIVERSIDE AVE STE N
Second Line :
City : SPOKANE
State : WA
Zip : 99201-0581
Country : US
Telephone Number : 425-954-3194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2015
Last Update Date : 05/01/2026

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Directions to “ VIRGINIA MOORE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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