Individual
CARL GORDON MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00034103
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310120
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8208480
—
WA
01
—
P00049551
RAIL ROAD MEDICARE
WA
Enumeration date
10/27/2006
Last updated
04/27/2021
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