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NPI Code Detail

MEDICARE: MARGARET A PORTWOOD

MEDICARE: MARGARET A PORTWOOD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/CenterOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053454355
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARGARET A PORTWOOD
Provider Business Mailing Address
First Line : 3015 NE WEST DEVILS LAKE RD
Second Line :
City : LINCOLN CITY
State : OR
Zip : 97367-5131
Country : US
Telephone Number : 541-994-5591
Fax Number : 541-994-3735
Provider Business Practice Location Address
First Line : 3015 NE WEST DEVILS LAKE ROAD
Second Line : COASTAL HEALTH PRACTITIONERS
City : LINCOLN CITY
State : OR
Zip : 97367-5131
Country : US
Telephone Number : 541-994-5591
Fax Number : 541-996-7294
Authorized Official
Title or Position : FNP
Name : MARGARET A PORTWOOD
Credential : NP
Telephone Number : 541-994-5591
Provider Enumeration Date : 02/15/2007
Last Update Date : 03/14/2024

Similar Medicare Providers

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Practice Location Address:
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1093820698 — MS. MARLENE DISSETTE FNP, WHCNP
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Practice Fax:
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1932397353 — DARRELL D PRINS
Practice Location Address:
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Directions to “MARGARET A PORTWOOD ” Practice Location

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