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General NPI Number Information
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NPI Number | 1053454355
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Entity Type | Organization
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Legal Business Name | MARGARET A PORTWOOD
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 3015 NE WEST DEVILS LAKE ROAD COASTAL HEALTH PRACTITIONERS
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City | LINCOLN CITY
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State | OR
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Zip | 97367-5131
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Country | US
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Telephone | 541-994-5591
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Fax | 541-996-7294
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Provider Business Mailing Address
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Address Line | 3015 NE WEST DEVILS LAKE RD
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City | LINCOLN CITY
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State | OR
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Zip | 97367-5131
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Country | US
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Telephone | 541-994-5591
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Fax | 541-994-3735
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Authorized Official
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Title or Position | FNP
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Name | MARGARET A PORTWOOD
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Credential | NP
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Telephone | 541-994-5591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State | OR
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