Healthcare Provider Details
I. General information
NPI: 1023032000
Provider Name (Legal Business Name): MARGARET ANN MCGUIRE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/26/2006
Last Update Date: 10/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2350 TERRITORIAL RD.
CANBY OR
97013
US
IV. Provider business mailing address
1315 N. FIR STREET
CANBY OR
97013
US
V. Phone/Fax
- Phone: 503-266-4444
- Fax:
- Phone: 916-206-7241
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | MFC 30088 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: