MEDICARE: MARGARET A HEWITT MD PC

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
1	174400000X	Specialist	MD12549	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033308168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGARET A HEWITT MD PC

Provider Business Mailing Address
First Line	:	4035 MERCANTILE DR STE 210
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-2591
Country	:	US
Telephone Number	:	503-636-6114
Fax Number	:

Provider Business Practice Location Address
First Line	:	4035 MERCANTILE DR STE 210
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-2591
Country	:	US
Telephone Number	:	503-636-6114
Fax Number	:

Authorized Official
Title or Position	:	BOOKKEEPER
Name	:	SHELLY BILDSTEIN
Credential	:
Telephone Number	:	503-636-6114

Provider Enumeration Date	:	10/15/2007
Last Update Date	:	04/08/2008

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