Provider Demographics
NPI:1154310894
Name:MORRIS, ELISSA (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:ELISSA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:MS
Other - First Name:ELISSA
Other - Middle Name:
Other - Last Name:JUBELIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:6011 SW JAN TREE CT
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-1152
Mailing Address - Country:US
Mailing Address - Phone:503-252-6818
Mailing Address - Fax:
Practice Address - Street 1:505 NE 87TH AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-1989
Practice Address - Country:US
Practice Address - Phone:360-514-6046
Practice Address - Fax:360-514-6075
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-16
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS