Provider Demographics
NPI:1225248545
Name:JAMISON, MARGARET RUTH (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:RUTH
Last Name:JAMISON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:JAMISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2517 S CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-2423
Mailing Address - Country:US
Mailing Address - Phone:360-457-3330
Mailing Address - Fax:360-457-3934
Practice Address - Street 1:2517 S CHERRY ST
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-2423
Practice Address - Country:US
Practice Address - Phone:360-457-3330
Practice Address - Fax:360-457-3934
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001092106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist