NPI Code Detail JSON Logo

1508859968 NPI number — MARGOT HILLARY UNDERWOOD PA-C

NPI Number: 1508859968
Health Care Provider/Practitioner: MARGOT HILLARY UNDERWOOD PA-C

Information about “1508859968” NPI (MARGOT HILLARY UNDERWOOD PA-C) exists in 1508859968 in HTML format HTML  |  1508859968 in plain Text format TXT  |  1508859968 in PDF (Portable Document Format) PDF  |  1508859968 in an XML format XML  formats.

NPI Number : 1508859968 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508859968",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "UNDERWOOD",
    "FirstName": "MARGOT",
    "MiddleName": "HILLARY",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1517",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PENDLETON",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97801-0410",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "877-708-1119",
    "MailingAddressFaxNumber": "541-278-8349",
    "FirstLinePracticeLocationAddress": "147 S 52ND PLACE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPRINGFIELD",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97478-6210",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "541-746-1166",
    "PracticeLocationAddressFaxNumber": "541-393-1607",
    "EnumerationDate": "08/31/2005",
    "LastUpdateDate": "07/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "PA2005-0004",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "PA218220",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.