Individual
THOMAS MORTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 616-4948
(206) 543-8054
Mailing address
1959 NE PACIFIC ST, P.O. BOX 357131, SEATTLE, WA 98195-0001
(206) 616-4948
(206) 543-8054
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DE00004296
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188482
L AND I
WA
05
—
7074222
—
WA
Enumeration date
10/12/2006
Last updated
10/12/2007
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