Search › Washington › 152W00000X
Jack Moore, OD
NPI 1891063236 · on the registry since 2011
Practice
- Address
- 3700 Martin Way E
#101
Olympia, WA 98506 - Phone
- (360) 456-2020
- Fax
- (360) 438-2577
- Organisation at this address
- Urgent Care Of Olympia
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-12-13
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