Provider Demographics
NPI:1013396407
Name:ANGUS, NATALIE SHEILA ANN (MD)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:SHEILA ANN
Last Name:ANGUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3360
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3360
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:931 S MARKET BLVD
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-3423
Practice Address - Country:US
Practice Address - Phone:360-767-6300
Practice Address - Fax:360-767-6320
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2018-10-22
Deactivation Date:2016-01-13
Deactivation Code:
Reactivation Date:2016-04-04
Provider Licenses
StateLicense IDTaxonomies
WAMD60768848207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine