Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Casssaundra Lynn Moore, MA60142017

Individual provider Specialist · NPI 1730456328

Casssaundra Lynn Moore, MA60142017 is a Specialist in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2011
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Practice location Address checks out

5343 Tallman Ave NW Ste 103
Seattle, WA 98107-3940
Phone: (206) 653-5448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA60142017 (WA)

Record details

NPI number1730456328
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA60142017
Sole proprietorYes
NPI enumeratedNovember 26, 2011
Last updated in NPPESNovember 26, 2011

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