Individual
AMY B MARGOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2195 NW SHEVLIN PARK RD, BEND, OR 97703-7102
(541) 706-3843
(541) 278-8375
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(541) 278-4332
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA 60026246
WA
363AS0400X
Surgical Physician Assistant
Primary
PA216394
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144292582
—
WA
Enumeration date
02/01/2006
Last updated
03/20/2024
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