Judson R. Moore, P.A.
Surgical PA · Bellingham, WA
UnclaimedP.A.NPI 1871773028
- Primary taxonomy
- 363AS0400X
- Enumerated
- 2007-11-05
- Practice location
- Bellingham, WA
- Last NPPES update
- 2010-11-19
State licenses
- WA · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · Osteopathic Physician Assistant LicenseInactive
- WA · Physician assistant · Physician Assistant LicenseActivethrough 2027
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.