Healthcare Provider Details

I. General information

NPI: 1003003153
Provider Name (Legal Business Name): LAURA MORRISON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2007
Last Update Date: 06/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 7TH AVE
SEATTLE WA
98104-1132
US

IV. Provider business mailing address

15906 MILL CREEK BLVD STE 105
MILL CREEK WA
98012-1797
US

V. Phone/Fax

Practice location:
  • Phone: 206-860-4691
  • Fax: 206-329-1261
Mailing address:
  • Phone: 206-329-1760
  • Fax: 206-325-5150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberML20009098
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD60421884
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: