Morrison, Susan Laurie

Morrison, Susan Laurie is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2367. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Morrison, Susan Laurie can be contacted via phone (360) 501-3500.

Contact Information

Primary practice address
1615 Delaware St Longview WA 98632-2367
Phone: (360) 501-3500
Fax: (360) 501-3555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD00042745 Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00042745 Washington

Profile Details

NPI number 1164420261
LBN Legal business name Morrison, Susan Laurie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Dec 8th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164420261 NPPES
Washington MEDICAID 8377178
Washington Other P00392953
Washington Other 0217052
Washington MEDICAID 022615
Washington Other 8943479

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