Provider Demographics
NPI:1386982999
Name:MORTON, MARLA E (MA)
Entity type:Individual
Prefix:
First Name:MARLA
Middle Name:E
Last Name:MORTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13900 NE 18TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-7215
Mailing Address - Country:US
Mailing Address - Phone:360-604-3600
Mailing Address - Fax:360-604-3602
Practice Address - Street 1:13900 NE 18TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-7215
Practice Address - Country:US
Practice Address - Phone:360-604-3600
Practice Address - Fax:360-604-3602
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00003138235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist