MEDICARE: ALEX 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
1	106H00000X	Marriage & Family Therapist		WA

General Provider Information

NPI Number	:	1740139815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX MOORE

Provider Business Mailing Address
First Line	:	225 ROY ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-4159
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2033 6TH AVE STE 1110
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-2590
Country	:	US
Telephone Number	:	206-858-1177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “ ALEX MOORE ” Practice Location

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