Active NPI
Willow Moore, DC, ND
- Naturopath
- Vancouver, WA
National Provider Identifier
1366630071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT00001012
- Practice address
- 4916 NE St Johns Rd
Vancouver, WA 98661-2547 - Phone
- (360) 694-4811
- Fax
- (360) 263-4351
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 435 | MT | |
| Naturopath | 175F00000X | 570 | OR | |
| Naturopath | 175F00000X | NT00001012 | WA | Primary |
| Chiropractor | 111N00000X | CH60062846 | WA |
Addresses
Primary practice location
4916 NE St Johns Rd
Vancouver, WA 98661-2547
Mailing address
PO Box 560
La Center, WA 98629-0560
Phone (425) 314-2745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 570 | OR | MD | Psychologist |
| 435 | MT | MD | Clinical Social Worker |
| CH60062846 | WA | MD | Chiropractor |
| NT00001012 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essential Health PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1366630071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 560",
"city": "LA CENTER",
"state": "WA",
"postal_code": "986290560",
"telephone_number": "425-314-2745",
"fax_number": "360-263-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4916 NE ST JOHNS RD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986612547",
"telephone_number": "360-694-4811",
"fax_number": "360-263-4351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "WILLOW",
"name_prefix": "Dr.",
"credential": "DC, ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "435",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "570",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT00001012",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60062846",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.