Provider Demographics
NPI:1073572376
Name:MORASH, ROBERT C JR (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:C
Last Name:MORASH
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2512 WHEATON WAY
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-3399
Mailing Address - Country:US
Mailing Address - Phone:360-782-3650
Mailing Address - Fax:360-782-3686
Practice Address - Street 1:9321 RIDGETOP BLVD. NW
Practice Address - Street 2:STE 100
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383
Practice Address - Country:US
Practice Address - Phone:360-782-3300
Practice Address - Fax:360-782-3345
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPA10001953363AM0700X
WAOA60078618363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8493595Medicaid
8868288Medicare PIN