Individual provider Active NPI

Denise L Morrison, P.A.

  • Medical Physician Assistant
  • White Salmon, WA
National Provider Identifier
1679573265
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA60157540 Issued in WA
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

Updated by the provider on Nov 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
765113MedicaidWA
720450MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110111000931 WA Practitioner - Physician Assistant 7113050857 Reassigns benefits to 1 organization
I20260213000504 OR Practitioner - Physician Assistant 7113050857 Reassigns benefits to 1 organization

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
Uptown Providers PCGroup PAC ID 4284891243, 43 clinicians

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

OrganizationSpecialtyStatusNew patients
Uptown Providers PC CurrentSince Jan 13, 2026 Accepting new patients
Uptown Providers PC CurrentSince Jan 1, 2026 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.

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

Verify at the official NPI Registry.