person
Douglas Bernard Moore, PA-C
Physician Assistant in Tacoma, Washington
NPI 1790853422

Douglas Bernard Moore is a Physician Assistant based in Tacoma, WA. Douglas Bernard Moore practices in Tacoma, WA and has the professional credentials of PA-C. The NPI Number for Douglas Bernard Moore is 1790853422 and holds a License No. PA10005095 (Washington).

The current practice location address for Douglas Bernard Moore is 1304 Fawcett Ave, Tacoma, WA and can be reached out via phone at 253-761-4200 and via fax at 253-383-3553.

Location: 1304 Fawcett Ave, Tacoma, WA, 98401-1535
person
Provider Profile Details
NPI Number
1790853422
Provider Name
Douglas Bernard Moore
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1304 Fawcett Ave, Tacoma, WA, 98401-1535
Phone Number
253-761-4200
Fax Number
253-383-3553
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0215666 01 WA LABOR AND INDUSTRIES-TRA
8862653 01 WA MEDICARE PIN-TRA KING
8943157 01 WA LABOR AND INDUSTRIES CRIME VICTIMS-TRA
P00428602 01 WA RR MEDICARE-TRA
8862652 01 WA MEDICARE PIN-TRA PIERCE
8862654 01 WA MEDICARE PIN-UNION AVENUE OPEN MRI
0249530 01 WA LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
8951854 01 WA LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
institution
Provider Business Practice Location Address Details
Address
1304 Fawcett Ave
City
State
Zip
98402-1911
Phone Number
253-761-4200
Fax Number
253-383-3553
person
Provider Business Mailing Address Details
Address
1304 Fawcett Ave
City
State
Zip
98402-1911
Phone Number
253-761-4200
Fax Number
253-383-3553
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
PA10005095 (Washington)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10005095 (Washington)
Definition
Definition to come...
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