Charles C. Morrison, M.D.
Individual provider Active NPI Family Medicine Physician · Colbert, WA
NPI 1609929843 · NPPES record last updated May 16, 2008
Key facts
- NPI
- 1609929843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD00031131 (WA)
- Practice address
- 22226 N Glen Dr
Colbert, WA 99005-9415 - Phone
- (509) 869-8567
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00031131 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Empire Hospital Services Association | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- charles.morrison@1665.securemail.prognocis.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00031131 | WA | Yes |
Addresses
Primary practice location
22226 N Glen Dr
Colbert, WA 99005-9415
Mailing address
22226 N Glen Dr
Colbert, WA 99005-9415
Phone (509) 869-8567
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8478208 | Medicaid | WA |
Other providers in Colbert, WA
- Stephanie Huntley
- John David Johnson III
- Lisa Lester
- Amber Lindsey
- Lisa Lester, PLLC
- NW Systems Therapy
- Zachary Ryan Penrod
- Kristina Prikhodko
- Kim Sain
- Kevin G Sant
All providers in Colbert, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.