Healthcare Provider Details

I. General information

NPI: 1215511142
Provider Name (Legal Business Name): MORGAN L HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2021
Last Update Date: 05/06/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6221 E FOURTH PLAIN BLVD APT 130
VANCOUVER WA
98661-7210
US

IV. Provider business mailing address

419 SE CLARK AVE # B209
BATTLE GROUND WA
98604-8983
US

V. Phone/Fax

Practice location:
  • Phone: 360-831-0908
  • Fax:
Mailing address:
  • Phone: 503-839-5554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: