Individual
MICHAEL D MORICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 964-9664
(360) 892-9667
Mailing address
13215 SE MILL PLAIN BLVD, STE C8-901, VANCOUVER, WA 98684-6963
(360) 892-9664
(360) 892-9667
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00045440
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269894
—
OR
05
—
807274300
—
ID
05
—
8432155
—
WA
01
—
P00238906
RR MEDICARE
WA
Enumeration date
04/06/2006
Last updated
03/19/2008
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