Most Relevant Information
Provider Data
| NPI Number: | 1003565177 |
| Provider Name: | TESSA ELIZABETH MOORE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/23/2022 |
| Last Updated: | 05/16/2023 |
Provider Practice Location
105 S APPLE BLOSSOM DR
CHELAN
WA
988168810
Practice Location Phone/Fax
| Phone: | 5096826000 |
| Fax: |
Provider Mailing Location
600 ORONDO AVE STE 1
WENATCHEE
WA
988012800
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |