MEDICARE: THE MOORE CENTER PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	251S00000X	Community/Behavioral Health Agency
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
4	2084P0800X	Psychiatry Physician
5	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1821893132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MOORE CENTER PC

Provider Business Mailing Address
First Line	:	PO BOX 561661
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80256-1661
Country	:	US
Telephone Number	:	877-825-8584
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 BOREN AVE STE 802
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-3534
Country	:	US
Telephone Number	:	877-825-8584
Fax Number	:

Authorized Official
Title or Position	:	MANAGER, CREDENTIALING
Name	:	JESS JOSLIN
Credential	:
Telephone Number	:	303-731-8164

Provider Enumeration Date	:	02/19/2025
Last Update Date	:	02/06/2026

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Directions to “THE MOORE CENTER PC ” Practice Location

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