Provider Demographics
NPI:1437174679
Name:EGELAND, MARGARET A (CNM)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:EGELAND
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1285 LIBERTY ST SE
Mailing Address - Street 2:P.O. BOX 14001
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-4243
Mailing Address - Country:US
Mailing Address - Phone:503-562-4040
Mailing Address - Fax:
Practice Address - Street 1:1285 LIBERTY ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-4243
Practice Address - Country:US
Practice Address - Phone:503-562-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR273928Medicaid
OR133758Medicare ID - Type Unspecified
ORR94411Medicare UPIN