Individual
ROSANN MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
745 WILLIAMS ST, MOSSYROCK, WA 98564-9004
(360) 983-8990
(360) 983-8995
Mailing address
113 VILLAGE RD, MOSSYROCK, WA 98564-9707
(360) 985-7754
(360) 496-5093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003487
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649368218
—
WA
01
—
363A00000X
TAXONOMY
WA
01
—
G8917892
MEDICARE PTAN
WA
Enumeration date
10/10/2006
Last updated
07/30/2013
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