MEDICARE: PETER N MOORE PSYD

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	103TC0700X	Clinical Psychologist	WA 1127	WA

General Provider Information

NPI Number	:	1790843274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER N MOORE PSYD

Provider Business Mailing Address
First Line	:	4026 NE 55TH ST
Second Line	:	STE. E-200
City	:	SEATTLE
State	:	WA
Zip	:	98105-2262
Country	:	US
Telephone Number	:	206-523-9505
Fax Number	:	206-523-9487

Provider Business Practice Location Address
First Line	:	4026 NE 55TH ST
Second Line	:	STE. E-200
City	:	SEATTLE
State	:	WA
Zip	:	98105-2262
Country	:	US
Telephone Number	:	206-523-9505
Fax Number	:	206-523-9487

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1619825213 — DR SEPIDEH TORKAN DDS MS PLLC
Practice Location Address:

4026 NE 55TH ST UNIT A105
SEATTLE, WA
98105-2262

Practice Phone: 206-526-7846
Practice Fax:

1215999453 — KAREN LEE NUSSBAUM PH.D.
Practice Location Address:

4026 NE 55TH ST , STE.A
SEATTLE, WA
98105-2262

Practice Phone: 206-367-2309
Practice Fax: 206-523-4935

1033226733 — DR. KEVIN CHRISTOPHER PETERSON PH.D
Practice Location Address:

4026 NE 55TH ST , SUITE D
SEATTLE, WA
98105-2262

Practice Phone: 206-526-1284
Practice Fax: 206-526-1284

1780763177 — MRS. PAMELA G BARNEY ARNP
Practice Location Address:

4026 NE 55TH ST , SUITE E 235
SEATTLE, WA
98105-2262

Practice Phone: 425-821-8486
Practice Fax: 425-820-1316

1336202464 — MS. KATHARINE ELLEN NELSON M.S.,M.C.C.,L.M.F.T.
Practice Location Address:

4026 NE 55TH ST , SUITE D
SEATTLE, WA
98105-2262

Practice Phone: 206-525-6939
Practice Fax: 206-524-7653

1144386236 — EAST LAKE PSYCHOLOGICAL SERVICES, PS
Practice Location Address:

4026 NE 55TH ST , SUITE D
SEATTLE, WA
98105-2262

Practice Phone: 425-785-5887
Practice Fax:

Directions to “ PETER N MOORE PSYD” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.