Provider Demographics
NPI:1891849055
Name:MORRIS, JOHN V (MA)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:V
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1614
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97339-1614
Mailing Address - Country:US
Mailing Address - Phone:541-760-5293
Mailing Address - Fax:541-230-1078
Practice Address - Street 1:310 NW 5TH ST
Practice Address - Street 2:SUITE 211
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-4842
Practice Address - Country:US
Practice Address - Phone:541-760-5293
Practice Address - Fax:541-230-1078
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0215101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORT0215OtherLMFT