Healthcare Provider Details

I. General information

NPI: 1497387468
Provider Name (Legal Business Name): JASON LEE MORRIS DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2020
Last Update Date: 02/07/2020
Certification Date: 02/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 COWLITZ STREET
ST. HELENS OR
97051
US

IV. Provider business mailing address

101 S STATE ST STE 200G
LAKE OSWEGO OR
97034-3900
US

V. Phone/Fax

Practice location:
  • Phone: 503-396-5410
  • Fax:
Mailing address:
  • Phone: 503-636-3028
  • Fax: 503-303-5708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: