Healthcare Provider Details

I. General information

NPI: 1164118196
Provider Name (Legal Business Name): MARGARET MICHELE MURBURG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 04/13/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1138 POPLAR PLACE SOUTH
SEATTLE WA
98144
US

IV. Provider business mailing address

1420 NW GILMAN BLVD # 2182
ISSAQUAH WA
98027-5394
US

V. Phone/Fax

Practice location:
  • Phone: 253-733-5615
  • Fax: 832-485-0696
Mailing address:
  • Phone: 206-669-3723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD00020457
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: