Basic Information
| Provider Information | |||||||||
| NPI: | 1578707683 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MORRIS | ||||||||
| FirstName: | VIRGINIA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | N.D, L.M.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11832 31ST PL NE | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981255602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2068411498 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2808 HOYT AVE | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | EVERETT | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982013551 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4252930107 | ||||||||
| FaxNumber: | 4252930329 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2009 | ||||||||
| LastUpdateDate: | 12/06/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225700000X | MA00023523 | WA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | 175F00000X | NT60256564 | WA | Y | Other Service Providers | Naturopath |
No ID Information.