Active NPI
Morrill T Moorehead, MD
- Cytopathology Physician
- Longview, WA
National Provider Identifier
1962444539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- 44028
- Practice address
- 1217 14TH Ave
Longview, WA 98632-3018 - Phone
- (360) 425-5620
- Fax
- (360) 425-7219
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 44028 | WA | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 44028 | WA |
Addresses
Primary practice location
1217 14TH Ave
Longview, WA 98632-3018
Mailing address
PO Box 3012
Longview, WA 98632
Phone (360) 425-5620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8410151 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44028 | WA | MD | Cytopathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1962444539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3012",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "98632",
"telephone_number": "360-425-5620",
"fax_number": "360-425-7219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 14TH AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986323018",
"telephone_number": "360-425-5620",
"fax_number": "360-425-7219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOREHEAD",
"first_name": "MORRILL",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "WA",
"license": "44028",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WA",
"license": "44028",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8410151",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.