Active NPIIndividual provider

Philip Moodey, MD

Family Medicine in Vancouver, Washington

NPI Number1487357299
Practice location
16811 SE Mcgillivray Blvd, Vancouver, WA 98683-3404
Fax
360-253-1781
Last updated
June 10, 2026

Philip Moodey is a Family Medicine based in Vancouver, WA. Philip Moodey practices in Vancouver, WA and has the professional credentials of MD. The NPI Number for Philip Moodey is 1487357299 and holds a License No. MD.MD.70066511 (WA). The current practice location address for Philip Moodey is 16811 SE Mcgillivray Blvd, Vancouver, WA 98683-3404 and can be reached out via phone at 360-735-8100 and via fax at 360-253-1781.

Provider Profile Details

NPI Number
1487357299
Provider Name
Philip Moodey
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
16811 SE Mcgillivray Blvd, Vancouver, WA 98683-3404
Phone Number
360-735-8100
Fax Number
360-253-1781
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2023
Last Update Date
June 10, 2026
Certification Date
June 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
16811 SE Mcgillivray Blvd
Vancouver, WA 98683-3404
Zip
98683-3404
Phone Number
360-735-8100
Fax Number
360-253-1781
Vancouver, WA 98683Get directions →

Provider Business Mailing Address Details

Address
799 Bloomfield Ave Ste 201
Verona, NJ 07044-1374
City
Verona
State
NJ
Zip
07044-1374
Phone Number
973-746-7050

License Information

License Number
MD.MD.70066511
License State
WA
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Family Medicine providers near Vancouver, WA

View all Family Medicine providers in Vancouver →

Frequently Asked Questions

What is the NPI number of Philip Moodey, MD?

The NPI number of Philip Moodey, MD is 1487357299. It was assigned on March 22, 2023 and is currently active in the NPPES registry.

What is the specialty of Philip Moodey, MD?

Philip Moodey, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in WA under license number MD.MD.70066511.

Where does Philip Moodey, MD practice?

The practice location is 16811 SE Mcgillivray Blvd, Vancouver, WA 98683-3404. The office can be reached at 360-735-8100 (phone) or 360-253-1781 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487357299 directly on the NPPES registry website.

Browse related providers