Healthcare Provider Details

I. General information

NPI: 1578707683
Provider Name (Legal Business Name): VIRGINIA MORRIS N.D, L.M.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2009
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 HOYT AVE SUITE 201
EVERETT WA
98201-3551
US

IV. Provider business mailing address

11832 31ST PL NE
SEATTLE WA
98125-5602
US

V. Phone/Fax

Practice location:
  • Phone: 425-293-0107
  • Fax: 425-293-0329
Mailing address:
  • Phone: 206-841-1498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00023523
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60256564
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: