Provider Demographics
NPI:1346879822
Name:MORRIS, CRAIG CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:CHARLES
Last Name:MORRIS
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:PO BOX 356422
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6422
Mailing Address - Country:US
Mailing Address - Phone:206-685-1397
Mailing Address - Fax:206-685-9395
Practice Address - Street 1:1959 NE PACIFIC ST STE BB-552
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-3098
Practice Address - Country:US
Practice Address - Phone:206-685-1397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPG205868207R00000X
WAMD61416869207R00000X
OR209524207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program