Healthcare Provider Details
I. General information
NPI: 1588794135
Provider Name (Legal Business Name): CHAD AARON MORSE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/06/2007
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3521 NW SAMARITAN DR STE 101
CORVALLIS OR
97330-4744
US
IV. Provider business mailing address
PO BOX 1189
CORVALLIS OR
97339-1189
US
V. Phone/Fax
- Phone: 541-768-6119
- Fax: 541-768-6120
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | MD160180 |
| License Number State | OR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | M-9783 |
| License Number State | ID |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: