Basic Information
Provider Information
NPI: 1184937831
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BONDS
FirstName: MORGAN
MiddleName: MICHELLE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1100 9TH AVE
Address2:  
City: SEATTLE
State: WA
PostalCode: 981012756
CountryCode: US
TelephoneNumber: 2062236600
FaxNumber:  
Practice Location
Address1: 1100 9TH AVE
Address2:  
City: SEATTLE
State: WA
PostalCode: 981012756
CountryCode: US
TelephoneNumber: 2062236600
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/23/2010
LastUpdateDate: 07/31/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X29156OKN Allopathic & Osteopathic PhysiciansSurgery 
208600000XMD60779886WAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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