Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan Patrick Moore, PA-C

Individual provider Surgical Physician Assistant · NPI 1568973576

Ryan Patrick Moore, PA-C is a Physician Assistant in Federal Way, Washington. Qualified in 2017, 9 years ago. Practices with Select Outpatient Services Inc, a 790-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

34612 6th Ave S Ste 300
Federal Way, WA 98003-8723
Phone: (253) 838-8552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence OA60803041 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA.0777859 (WA)

Record details

NPI number1568973576
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 17, 2017
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020
Mailing address34612 6th Ave S Ste 300, Federal Way, WA 98003-8723

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Select Outpatient Services Inc — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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