Healthcare Provider Details

I. General information

NPI: 1538311626
Provider Name (Legal Business Name): MS. JUDITH C. MORROW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUDITH M. BROWN LMP

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 10/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W MCGRAW ST
SEATTLE WA
98119-5801
US

IV. Provider business mailing address

335 NW 79TH ST
SEATTLE WA
98117-4016
US

V. Phone/Fax

Practice location:
  • Phone: 206-282-5386
  • Fax:
Mailing address:
  • Phone: 206-282-3989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License NumberMA00000711
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA00000711
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: