Individual
MARGOT OUIMETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1813 W HARVARD AVE STE 310, ROSEBURG, OR 97470-2756
(541) 672-7546
(541) 957-8446
Mailing address
1813 W HARVARD AVE STE 310, ROSEBURG, OR 97470-2756
(541) 672-7546
(541) 957-8446
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
LL15893
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL15893
OREGON PA LICENSE
OR
Enumeration date
02/07/2006
Last updated
11/02/2007
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