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NPI Code Detail

MEDICARE: MARGARET LOUISE DOUGHTY RN

MEDICARE: MARGARET LOUISE DOUGHTY RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN00081562WA

General Provider Information

NPI Number : 1003257395
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET LOUISE DOUGHTY RN
Provider Business Mailing Address
First Line : 3801 NE 145TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98682-8904
Country : US
Telephone Number : 360-882-1169
Fax Number :
Provider Business Practice Location Address
First Line : 3801 NE 145TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98682-8904
Country : US
Telephone Number : 360-882-1169
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2013
Last Update Date : 07/15/2013

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