Kristina Marie Moore
Social Worker
1014 Main Street
Vancouver
, Washington 98661
Kristina Marie Moore
Social Worker
1014 Main Street
Vancouver
, Washington 98661
(360) 750-1374
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About
Features
Specialties
- Social Worker
Languages spoken
- English
Location
First Address
- Kristina Marie Moore
- 1014 Main Street
- Vancouver, WA
- Zip : 98661
- Fax : (360) 750-1374
- Phone : (360) 695-1014
Second Address
- Kristina Marie Moore
- 1014 Main Street
- Vancouver, WA
- Zip : 98661
- Fax : (360) 750-1374
- Phone : (360) 695-1014
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker | OR |
National Provider Identifier
| NPI | 1003188426 |
|---|---|
| Provider Name | Kristina Marie Moore |
| First Address | Vancouver, WA 98661 |
| Second Address | Vancouver, WA 98661 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2012 |
| Last Update Date | 05/12/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.