Provider Demographics
NPI:1851008015
Name:MORGAN ANESTHESIA CONTRACTING PLLC
Entity Type:Organization
Organization Name:MORGAN ANESTHESIA CONTRACTING PLLC
Other - Org Name:MORGAN ANESTHESIA CONSULTING
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CRNA, ARNP
Authorized Official - Phone:360-451-0255
Mailing Address - Street 1:PO BOX 14614
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98511-4614
Mailing Address - Country:US
Mailing Address - Phone:360-451-0255
Mailing Address - Fax:
Practice Address - Street 1:1103 SURREY TRCE SE
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-8637
Practice Address - Country:US
Practice Address - Phone:360-451-0255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty