Healthcare Provider Details

I. General information

NPI: 1033376355
Provider Name (Legal Business Name): JOHN P MORRIS MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2008
Last Update Date: 09/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3623 SW ALASKA ST
SEATTLE WA
98126-2732
US

IV. Provider business mailing address

PO BOX 13684
SEATTLE WA
98198-1010
US

V. Phone/Fax

Practice location:
  • Phone: 206-937-6799
  • Fax: 206-937-2380
Mailing address:
  • Phone: 206-592-5000
  • Fax: 206-824-9510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00015777
License Number StateWA

VIII. Authorized Official

Name: JOHN P MORRIS
Title or Position: OWNER
Credential: MD
Phone: 206-230-8456