Provider Demographics
NPI:1962490672
Name:MORRIS, RALPH L (MD)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:L
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1020 ANDERSON DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-1055
Mailing Address - Country:US
Mailing Address - Phone:360-533-6446
Mailing Address - Fax:360-538-0807
Practice Address - Street 1:1020 ANDERSON DR
Practice Address - Street 2:SUITE 205
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-1055
Practice Address - Country:US
Practice Address - Phone:360-533-6446
Practice Address - Fax:360-538-0807
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-07
Last Update Date:2013-04-23
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Provider Licenses
StateLicense IDTaxonomies
WAMD00017050207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0016244Medicaid
WA0016244Medicaid
WA000800100Medicare ID - Type Unspecified