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Individual

DAVID ERNEST MAGARET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1201 NE ELM ST, PRINEVILLE, OR 97754-1206
(541) 447-6254
(541) 447-2511
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD25409
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
213697
OR
Enumeration date
05/08/2006
Last updated
03/07/2008
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