Doctor Name: | LAURA C MOSS |
NPI Number: | 1023068780 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD 39129 |
Business Practice Address: | 101 W 8th Ave Spokane, WA - 992042307 |
Business Phone Number: | 5094744818 |
Business Fax Number: | |
Mailing Address: | 1901 Esther St, NEWBERG |
State: | OR |
Postal Code: | 971329529 |
Phone Number: | 5035544325 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 11/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | MD 39129 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |