Individual provider · Type 1 NPI

Casssaundra Lynn Moore, MA60142017

Specialist · Seattle, WA

NPI number 1730456328 Active

Practice location

5343 Tallman Ave NW Ste 103
Seattle, WA 98107-3940

Mailing address

7204 27th Ave NE
Seattle, WA 98115-5822

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA60142017 (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 1730456328

Casssaundra Lynn Moore, MA60142017's National Provider Identifier is 1730456328, issued on Nov 26, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Seattle, WA. The record was last updated on Nov 26, 2011.