Provider Demographics
NPI:1912192824
Name:MORRISON, AMY E (LAC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:E
Other - Last Name:HINCHCLIFFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:9505 19TH AVE SE STE 114
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-3843
Mailing Address - Country:US
Mailing Address - Phone:206-661-6842
Mailing Address - Fax:425-274-4972
Practice Address - Street 1:9505 19TH AVE SE STE 114
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-3843
Practice Address - Country:US
Practice Address - Phone:206-661-6842
Practice Address - Fax:425-274-4972
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00003039171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist