MEDICARE: TAIRRA MORROW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist	6028	WA

General Provider Information

NPI Number	:	1306772140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAIRRA MORROW

Provider Business Mailing Address
First Line	:	7515 13TH AVE NE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98516-5623
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 JAHN AVE NW STE A4
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-8905
Country	:	US
Telephone Number	:	360-742-3538
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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Directions to “ TAIRRA MORROW ” Practice Location

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