Individual
ANN MARIE MACASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
402 VILLA RD, NEWBERG, OR 97132-1831
(503) 538-7500
(503) 538-9183
Mailing address
402 VILLA RD, NEWBERG, OR 97132-1831
(503) 538-7500
(503) 538-9183
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD26899
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247403
—
OR
Enumeration date
08/31/2006
Last updated
02/27/2012
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