Provider Demographics
NPI:1316985914
Name:MORGAN, CHRISTOPHER J (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11995 SINGLETREE LN
Mailing Address - Street 2:STE 500
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-5347
Mailing Address - Country:US
Mailing Address - Phone:952-595-1301
Mailing Address - Fax:612-294-4903
Practice Address - Street 1:3800 RIDGE LN
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-2956
Practice Address - Country:US
Practice Address - Phone:952-595-1100
Practice Address - Fax:612-294-4903
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD145572085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB26987Medicare PIN
ORR154567Medicare PIN
1316985914OtherNPI NUMBER
ID808469600Medicaid
ORR105089Medicare PIN
ORR103005Medicare PIN
WAGAB20518Medicare PIN
OH2937317Medicaid
LA1813630Medicaid
SCQ14557Medicaid
WA8154965Medicaid
KY7100107940Medicaid
PA102328206 0001Medicaid
ORR146269Medicare PIN
ORR114189Medicare PIN
ORR103014Medicare PIN
ORP00799965OtherRXR MCR PTAN
OR119479Medicaid