Provider Demographics
NPI:1477071041
Name:EVANS, MORGAN WARWICK (MD, FRCSC)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:WARWICK
Last Name:EVANS
Suffix:
Gender:M
Credentials:MD, FRCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3837 AURORA AVE N APT 2
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-2720
Mailing Address - Country:US
Mailing Address - Phone:206-604-0765
Mailing Address - Fax:
Practice Address - Street 1:DIVISION OF CRANIOFACIAL AND PLASTIC SURGERY
Practice Address - Street 2:4800 SAND POINT WAY, NE, MS OB.9.520
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-0371
Practice Address - Country:US
Practice Address - Phone:206-604-0765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMDFE.60738663208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery