Provider Demographics
NPI:1033319348
Name:MORRIS, TIMOTHY ROBERT (ND)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ROBERT
Last Name:MORRIS
Suffix:
Gender:M
Credentials:ND
Other - Prefix:DR
Other - First Name:T.R.
Other - Middle Name:
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:13346 1ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-3036
Mailing Address - Country:US
Mailing Address - Phone:206-361-2602
Mailing Address - Fax:206-361-2605
Practice Address - Street 1:13346 1ST AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-3036
Practice Address - Country:US
Practice Address - Phone:206-361-2602
Practice Address - Fax:206-361-2605
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001144175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath