Healthcare Provider Details

I. General information

NPI: 1659927234
Provider Name (Legal Business Name): MARGARET RAGEN LM, CM, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2019
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65-1206 MAMALAHOA HWY STE 2-204
KAMUELA HI
96743-8324
US

IV. Provider business mailing address

PO BOX 1149
KAMUELA HI
96743-1149
US

V. Phone/Fax

Practice location:
  • Phone: 808-649-5007
  • Fax: 808-649-5014
Mailing address:
  • Phone: 503-313-6132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW30
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number001927
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: