Provider Demographics
NPI:1326174129
Name:TOUGAS, MORGAN DEAN (LAC)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:DEAN
Last Name:TOUGAS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 PERCIVAL ST NW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-4932
Mailing Address - Country:US
Mailing Address - Phone:360-915-3848
Mailing Address - Fax:
Practice Address - Street 1:230 PERCIVAL ST NW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-4932
Practice Address - Country:US
Practice Address - Phone:360-915-3848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002943171100000X
CAAC9698171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist