Search › Washington › 101YA0400X
Brenda Moore
NPI 1548787765 · on the registry since 2017
Practice
- Address
- 305 Pacific Ave S Ste 102
Kelso, WA 98626 - Phone
- (360) 577-7442
- Fax
- (360) 577-7904
- Organisation at this address
- Wchs Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington