Physician Compare National (NPI:1619971652)

HEALTHCARE PROVIDER: MARGARET A PORTWOOD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1619971652
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830252865
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090116000261
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PORTWOOD
	Individual professional last name
Provider First Name	MARGARET
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1974
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3015 NE W DEVILS LAKE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	COAST HEALTH PRACTITIONERS
	Group Practice or individual's line 2 address
City	LINCOLN CITY
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	973875131
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5419945591
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	381302
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAMARITAN NORTH LINCOLN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	381314
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAMARITAN PACIFIC COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y