Healthcare Provider Details

I. General information

NPI: 1982650123
Provider Name (Legal Business Name): PATRICK W MORELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 05/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12303 NE 130TH LN SUITE 420
KIRKLAND WA
98034-3099
US

IV. Provider business mailing address

12303 NE 130TH LN SUITE 420
KIRKLAND WA
98034-3099
US

V. Phone/Fax

Practice location:
  • Phone: 425-899-6400
  • Fax: 425-899-4490
Mailing address:
  • Phone: 425-899-6400
  • Fax: 425-899-4490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD00028942
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD00028942
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: