MEDICARE: MARGARET ELIZABETH HALPIN CPM, LDM

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	175M00000X	Lay Midwife	DEM-LD-10179887	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DEM-LD-10179887	OTHER	OR	OREGON HEALTH LICENSING

General Provider Information

NPI Number	:	1285186239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET ELIZABETH HALPIN CPM, LDM

Provider Business Mailing Address
First Line	:	3025 NE OREGON ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97232-2449
Country	:	US
Telephone Number	:	360-606-0931
Fax Number	:

Provider Business Practice Location Address
First Line	:	3025 NE OREGON ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97232-2449
Country	:	US
Telephone Number	:	360-606-0931
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2016
Last Update Date	:	10/25/2016

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