IndividualActive
Tessa Moore, MD
NPI 1003565177 · Family Medicine Physician · Chewelah, WA
Provider details
- NPI number
- 1003565177
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD61583267 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 W South Ave
Chewelah, WA 99109-9684
Phone: (509) 935-8111
Fax: (509) 935-0970
Street-level locationGet directions
Mailing address
Po Box 31001-4114
Pasadena, CA 91110-4114
Additional practice locations (1)
- 331 Ne Thornton PlSeattle, WA 98125-8021Phone: (206) 528-8000Fax: (206) 520-2399
Registry dates
- Enumerated
- 2022-03-23
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.