Provider Demographics
NPI:1790013837
Name:MORRIS, JULIA ANNE (LMP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ANNE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 S MARKET BLVD
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-3426
Mailing Address - Country:US
Mailing Address - Phone:360-748-1525
Mailing Address - Fax:360-748-1156
Practice Address - Street 1:1034 S MARKET BLVD
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-3426
Practice Address - Country:US
Practice Address - Phone:360-748-1525
Practice Address - Fax:360-748-1156
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60072927175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath