Active NPI
Denise L Morrison, P.A.
- Medical Physician Assistant
- White Salmon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA60157540
- Practice address
- 212 Skyline Dr
White Salmon, WA 98672-0212 - Phone
- (509) 493-2133
- Fax
- (509) 493-9543
- NPI assigned
- Jul 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2643 | AZ | |
| Medical Physician Assistant | 363AM0700X | PA60157540 | WA | Primary |
Addresses
Primary practice location
212 Skyline Dr
White Salmon, WA 98672-0212
Mailing address
46 Stoller Rd
Trout Lake, WA 98650-9712
Phone (509) 637-4728
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 765113 | Medicaid | WA | |
| 720450 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11675 SW Pacific Hwy
Tigard, OR 97223-8672
Phone (503) 305-6262
180 NE 192ND Ave
Suite 505
Vancouver, WA 98684-7525
Phone (503) 305-6262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uptown Providers PC | Current | Accepting new patients | |
| Uptown Providers PC | Current | Accepting new patients | |
| CT Colony Emergency Physicians, LLC | Past | Accepting new patients | |
| Emergency Room Associates Limited | Past | Accepting new patients |
Locations
14278 SW Allen Blvd
Beaverton, OR 97005
1071 SE Tualatin Valley Hwy
Hillsboro, OR 97123
11675 SW Pacific Hwy
Tigard, OR 97223
180 NE 192nd Ave
Ste 505
Vancouver, WA 98684
7500 NE 117th Ave
Vancouver, WA 98662
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Tigard, OR
- NPI 1346903531
-
- Urgent Care Clinic/Center
- Vancouver, WA
- NPI 1255102034
-
- Urgent Care Clinic/Center
- Vancouver, WA
- NPI 1912702465
-
- Emergency Medicine Physician
- Waterbury, CT
- NPI 1831444322
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1770586869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289779200000",
"number": "1679573265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 STOLLER RD",
"city": "TROUT LAKE",
"state": "WA",
"postal_code": "986509712",
"telephone_number": "509-637-4728",
"fax_number": "509-395-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 SKYLINE DR",
"city": "WHITE SALMON",
"state": "WA",
"postal_code": "986720212",
"telephone_number": "509-493-2133",
"fax_number": "509-493-9543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "DENISE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2010-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "2643",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA60157540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "765113",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "720450",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Salmon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.