Individual provider · Type 1 NPI

Victoria A. Moore, PAC

Medical Physician Assistant · Olympia, WA

NPI number 1912988650 Active

Practice location

209 Lilly Rd NE
Olympia, WA 98506-5197

Fax (360) 413-8830

Other practice locations

  • 500 Lilly Rd NE, Suite 204, Olympia, WA 98506-5195 · (360) 413-8250

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XPA10003474 (WA)

Medical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1912988650

Victoria A. Moore, PAC's National Provider Identifier is 1912988650, issued on Nov 9, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Olympia, WA. The record was last updated on Mar 7, 2023.