Provider Demographics
NPI:1972833465
Name:MORGAN-PAULSON, MEGAN JO-LYNN (LMP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:JO-LYNN
Last Name:MORGAN-PAULSON
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:JO-LYNN
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:219 JEWELL ST
Mailing Address - Street 2:
Mailing Address - City:ENUMCLAW
Mailing Address - State:WA
Mailing Address - Zip Code:98022-7329
Mailing Address - Country:US
Mailing Address - Phone:253-350-3833
Mailing Address - Fax:253-350-3833
Practice Address - Street 1:709 GRIFFIN AVE
Practice Address - Street 2:
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022-3419
Practice Address - Country:US
Practice Address - Phone:253-350-3833
Practice Address - Fax:253-350-3833
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-05
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022280225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist