L Katherine Moon
NPI #1275295164 in Vancouver, Washington
Provider Information
- NPI Number
- 1275295164
- Entity Type
- Organization
- Organization Name
- L Katherine Moon
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- L KATHERINE MOON
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 8, 2021
- Last Updated
- Feb 6, 2022
Practice Location
- Address
- 406 SE 131ST AVE STE C
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98683-4004
- Phone
- (360) 816-0277
Authorized Official
- Name
- L KATHERINE MOON, FNP
- Title
- OWNER
- Phone
- (360) 816-0277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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