Provider Demographics
NPI:1336145101
Name:MORIN, DANIEL ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ROBERT
Last Name:MORIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9327 4TH ST NE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-1630
Mailing Address - Country:US
Mailing Address - Phone:425-334-6258
Mailing Address - Fax:425-334-1187
Practice Address - Street 1:9327 4TH ST NE
Practice Address - Street 2:SUITE 6
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-1630
Practice Address - Country:US
Practice Address - Phone:425-334-6258
Practice Address - Fax:425-334-1187
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003678111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAU81949Medicare UPIN
WAAB26353Medicare ID - Type Unspecified