Individual
MRS. MARGARET A GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4011 TALBOT RD S, SUITE 500, RENTON, WA 98055-5773
(425) 251-5110
(425) 793-7380
Mailing address
PO BOX 59028, RENTON, WA 98058-2028
(425) 251-5110
(425) 793-4707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00C92207
WA
363L00000X
Nurse Practitioner
Primary
AP30005897
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9632811
—
WA
Enumeration date
10/19/2006
Last updated
05/25/2021
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