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Contact Information

MORRILL T MOOREHEAD, MD
1217 14TH AVE
LONGVIEW, WA98632-3018
 Phone: 360-425-5620
 Fax: 360-425-7219
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cytopathology

207ZC0500X 22 Physician/Pathology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MORRILL T MOOREHEAD · (Male)

NPI # 1962444539
Status Active
Credentials MD
Entity Individual
Enumeration date 06/11/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • WA License # 44028
  • WA Medicaid 8410151
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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