Provider Demographics
NPI:1346742954
Name:MORAR, ALISHA NAOMI (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ALISHA
Middle Name:NAOMI
Last Name:MORAR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 NE 88TH ST STE D102
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-0982
Mailing Address - Country:US
Mailing Address - Phone:971-570-7021
Mailing Address - Fax:
Practice Address - Street 1:6000 NE 88TH ST STE D102
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-0982
Practice Address - Country:US
Practice Address - Phone:360-474-5904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-28
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201801089RN163WA0400X
WAAP61280332363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP61280332OtherWASHINGTON STATE ARNP LICENSE