Provider Demographics
NPI:1922304401
Name:MORRIS, AARON MARLEY
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:MARLEY
Last Name:MORRIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-1504
Mailing Address - Country:US
Mailing Address - Phone:425-347-1951
Mailing Address - Fax:425-438-1761
Practice Address - Street 1:610 5TH ST
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-1504
Practice Address - Country:US
Practice Address - Phone:425-347-1951
Practice Address - Fax:425-438-1761
Is Sole Proprietor?:No
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60177208175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath