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General NPI Number Information
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NPI Number | 1578186078
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Entity Type | Individual
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Provider Name | CLINTON LUKE MORRIS DO
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Gender | Male
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1093 ROYAL CT
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City | MEDFORD
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State | OR
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Zip | 97504-6130
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Country | US
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Telephone | 541-773-7273
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Fax | 541-773-2027
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Provider Business Mailing Address
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Address Line | PO BOX 1705
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City | MEDFORD
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State | OR
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Zip | 97501-0132
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Country | US
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Telephone | 541-773-7273
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Fax | 541-773-2027
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | BP10070507
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DO219474
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License Number State | OR
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