Individual provider · Type 1 NPI

Christopher Vincent Moore, MD

Student in an Organized Health Care Education/Training Program · Puyallup, WA

NPI number 1174106397 Active

Practice location

1322 3rd St SE Ste 240
Puyallup, WA 98372-3771

Call (253) 697-1420 Map

Fax (253) 697-1439

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174106397

Christopher Vincent Moore, MD's National Provider Identifier is 1174106397, issued on May 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Puyallup, WA. The record was last updated on May 5, 2021.