Individual
MARGOT ELIZABETH CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1164
(503) 494-1159
Mailing address
3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239-3098
(503) 494-1164
(503) 494-1159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA181492
OR
363A00000X
Physician Assistant
PA21943
CA
363AM0700X
Medical Physician Assistant
Primary
PA181492
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2010
Last updated
12/18/2020
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