Individual
BEENA L. MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19200 N KELSEY ST, MONROE, WA 98272-1431
(360) 794-7994
(360) 805-4757
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00039376
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8110041
—
WA
Enumeration date
09/26/2006
Last updated
05/25/2021
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