MEDICARE: MRS. MADISON FAITH MORRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist		WA

General Provider Information

NPI Number	:	1932984374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MADISON FAITH MORRIS

Provider Business Mailing Address
First Line	:	2321 E 61ST AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-6905
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2321 E 61ST AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-6905
Country	:	US
Telephone Number	:	208-790-0054
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2023
Last Update Date	:	05/12/2026

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