| Doctor Name: | DR. WILLOW MOORE |
| NPI Number: | 1366630071 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DC, ND |
| License Number: | CH60062846 |
| Business Practice Address: | 4916 Ne St Johns Rd Vancouver, WA - 986612547 |
| Business Phone Number: | 3606944811 |
| Business Fax Number: | 3602634351 |
| Mailing Address: | Po Box 560, LA CENTER |
| State: | WA |
| Postal Code: | 986290560 |
| Phone Number: | 4253142745 |
| Fax Number: | 3602634351 |
| NPI Enumeration Date: | 10/09/2007 |
| NPI Last Update Date: | 09/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111N00000X |
| License Number: | CH60062846 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |