Search › Washington › 207L00000X
Brad Moore
NPI 1093057721 · on the registry since 2013
Practice
- Address
- 850 Republican St
Bldg C-4. Box 358047. Graduate Medical Education
Seattle, WA 98109 - Phone
- (206) 543-6806
- Clinicians at this address
- 25
Additional practice sites
- 31 N Saint Joseph Ave, Niles, MI
- 1234 Napier Ave, Saint Joseph, MI
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Also registered as
- 207L00000X
207L00000X - Licence states on file
- MI, ND, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington