Provider Demographics
NPI:1750541504
Name:MORRIS, DIANA NMN (MS)
Entity type:Individual
Prefix:MS
First Name:DIANA
Middle Name:NMN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:954 W 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3913
Mailing Address - Country:US
Mailing Address - Phone:541-682-7383
Mailing Address - Fax:
Practice Address - Street 1:165 E 37TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-4705
Practice Address - Country:US
Practice Address - Phone:541-344-6604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health