Individual
MARGARET LANG SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1569 SW NANCY WAY STE 2, BEND, OR 97702-3234
(541) 382-1395
Mailing address
1239 NE 8TH ST, BEND, OR 97701-4470
(541) 678-1796
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA150144
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500637079
—
OR
Enumeration date
09/01/2009
Last updated
01/31/2025
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