| NPI | 1336974195 |
|---|---|
| Doing Business As | MOORE FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHANNA MARIE MOORE CEO / Provider 509-275-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-12-11 |