Individual
SUSAN LAURIE MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 501-3500
(360) 501-3555
Mailing address
1115 SE 164TH AVE, DEPT. 358, VANCOUVER, WA 98683-9324
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD00042745
WA
2086S0129X
Vascular Surgery Physician
Primary
MD00042745
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217052
LABOR & IND
WA
05
—
022615
—
OR
05
—
8377178
—
WA
01
—
8943479
CRIME VICTIMS
WA
01
—
P00392953
RAILROAD MEDICARE
—
Enumeration date
07/12/2005
Last updated
12/08/2016
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