Individual
TIMOTHY D. MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3209 S 23RD ST, STE. 340, TACOMA, WA 98405-1602
(253) 272-8148
(253) 404-0506
Mailing address
2420 S UNION AVE, STE. 200, TACOMA, WA 98405-1322
(253) 272-8148
(253) 404-0506
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10001637
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8327140
—
WA
01
—
PA10001637
WA LICENSE
WA
Enumeration date
02/13/2006
Last updated
04/07/2014
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