Doctor Name: | MS. MARY E. MORRISON |
NPI Number: | 1033206842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | WA PA10000731 |
Business Practice Address: | 19185 Sw 90th Ave Tualatin, OR - 970627558 |
Business Phone Number: | 5038857300 |
Business Fax Number: | |
Mailing Address: | 3217 Ne 31st Ave, PORTLAND |
State: | OR |
Postal Code: | 972122618 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | WA PA10000731 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |