1609096940 NPI number — MS. VIRGINIA STARR MORGAN LMFT

Table of content: MS. VIRGINIA STARR MORGAN LMFT (NPI 1609096940)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609096940 NPI number — MS. VIRGINIA STARR MORGAN LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORGAN
Provider First Name:
VIRGINIA
Provider Middle Name:
STARR
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KOHLSAAT MORGAN
Provider Other First Name:
VIRGINIA
Provider Other Middle Name:
STARR
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1609096940
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9900 LOWER RIVER ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRANTS PASS
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97526
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-761-2991
Provider Business Mailing Address Fax Number:
541-955-4767

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
224 NW D STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRANTS PASS
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-761-2991
Provider Business Practice Location Address Fax Number:
541-955-4767
Provider Enumeration Date:
04/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  T0366 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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