Individual provider · Type 1 NPI

Julieanna Rose Moore, LMP

Specialist · Vancouver, WA

NPI number 1386927846 Active

Practice location

2006 Main St
Vancouver, WA 98660-2637

Mailing address

4317 NE 66th Ave, Apt J92
Vancouver, WA 98661-3081

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA 60212942 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386927846

Julieanna Rose Moore, LMP's National Provider Identifier is 1386927846, issued on Sep 21, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vancouver, WA. The record was last updated on Sep 21, 2011.