Provider Demographics
NPI:1114284221
Name:MORLOCK, CHRISTINE MARIE JODY (LM)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARIE JODY
Last Name:MORLOCK
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12800 228TH ST NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-6971
Mailing Address - Country:US
Mailing Address - Phone:425-381-0627
Mailing Address - Fax:
Practice Address - Street 1:12800 228TH ST NE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-9518
Practice Address - Country:US
Practice Address - Phone:425-381-0627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60367796175F00000X
WAMW60263623176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No176B00000XOther Service ProvidersMidwife