Healthcare Provider Details

I. General information

NPI: 1881674174
Provider Name (Legal Business Name): MARGARET E GRIFFITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET ELIZABETH WEAVER MD

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 05/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 NE 87TH AVE STE 160
VANCOUVER WA
98664-4897
US

IV. Provider business mailing address

505 NE 87TH AVE STE 160
VANCOUVER WA
98664-4897
US

V. Phone/Fax

Practice location:
  • Phone: 360-514-1060
  • Fax: 360-514-1065
Mailing address:
  • Phone: 360-514-1060
  • Fax: 360-514-1065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD00042319
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: