Individual
AMY B MARGOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
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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