Provider Demographics
NPI:1467551176
Name:MORRISON, DAVID S (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:S
Last Name:MORRISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7131 W DESCHUTES AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7801
Mailing Address - Country:US
Mailing Address - Phone:509-222-5650
Mailing Address - Fax:509-222-5651
Practice Address - Street 1:7131 W DESCHUTES AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7801
Practice Address - Country:US
Practice Address - Phone:509-222-5650
Practice Address - Fax:509-222-5651
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00033564207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1111384Medicaid
WA8808539Medicare ID - Type Unspecified
WA1111384Medicaid