Basic Information
Provider Information
NPI: 1346251626
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRIS
FirstName: GABRIELLE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D., M.P.H.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1151 DENNY WAY
Address2:  
City: SEATTLE
State: WA
PostalCode: 981095326
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1151 DENNY WAY
Address2:  
City: SEATTLE
State: WA
PostalCode: 981095326
CountryCode: US
TelephoneNumber: 9999999999
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/11/2006
LastUpdateDate: 03/20/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2083P0500XMD39638WAY Allopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine

No ID Information.


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