MEDICARE: DR. JADE-LIN MORTON DMD

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	122300000X	Dentist	DE60034331	WA
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DE60034331	WA

General Provider Information

NPI Number	:	1982854006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JADE-LIN MORTON DMD

Provider Business Mailing Address
First Line	:	450 S KITSAP BLVD STE 220
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-3738
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 S KITSAP BLVD STE 220
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-3738
Country	:	US
Telephone Number	:	360-447-5100
Fax Number	:

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

Provider Enumeration Date	:	09/25/2008
Last Update Date	:	04/09/2024

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