Healthcare Provider Details

I. General information

NPI: 1902365224
Provider Name (Legal Business Name): ALYSSA MORROW DO, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALYSSA FARR

II. Dates (important events)

Enumeration Date: 03/16/2019
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 8TH AVE STE 100
WEST LINN OR
97068-4657
US

IV. Provider business mailing address

2020 8TH AVE STE 100
WEST LINN OR
97068-4657
US

V. Phone/Fax

Practice location:
  • Phone: 503-659-4988
  • Fax:
Mailing address:
  • Phone: 503-659-4988
  • Fax: 833-428-4938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberPG212015
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: