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

Samantha Moore, PA-C

Individual provider Physician Assistant · NPI 1073969101

Samantha Moore, PA-C is a Physician Assistant in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2016.

Licensed in
WA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

500 Lilly Rd NE
Olympia, WA 98506-5195
Phone: (360) 413-8250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60671181 (WA)

Record details

NPI number1073969101
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 7, 2016
Last updated in NPPESOctober 24, 2016

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