Provider Demographics
NPI:1043435621
Name:MORGAN, CINDY K (NP MSM)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:K
Last Name:MORGAN
Suffix:
Gender:F
Credentials:NP MSM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 W 7TH AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-1100
Mailing Address - Country:US
Mailing Address - Phone:541-682-3931
Mailing Address - Fax:541-682-2455
Practice Address - Street 1:151 W 7TH AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-1100
Practice Address - Country:US
Practice Address - Phone:541-682-3931
Practice Address - Fax:541-682-2455
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT21496363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P04398Medicare UPIN
P04398Medicare UPIN
MT000003413Medicare ID - Type Unspecified