Healthcare Provider Details

I. General information

NPI: 1447154273
Provider Name (Legal Business Name): CHRIS SEIGNEUR MOSES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 S TACOMA WAY # 3
TACOMA WA
98409-4312
US

IV. Provider business mailing address

PO BOX 99882
LAKEWOOD WA
98496-0882
US

V. Phone/Fax

Practice location:
  • Phone: 253-302-9319
  • Fax:
Mailing address:
  • Phone: 253-302-9319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: