Healthcare Provider Details
I. General information
NPI: 1922495837
Provider Name (Legal Business Name): DANIEL J MORTON CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/17/2015
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11511 NE 10TH ST
BELLEVUE WA
98004-8578
US
IV. Provider business mailing address
PO BOX 50095
SEATTLE WA
98145-5095
US
V. Phone/Fax
- Phone: 425-502-3000
- Fax: 425-502-3589
- Phone: 206-520-5700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | AP60594746 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | APRN9349007 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: