Provider Demographics
NPI:1437547643
Name:MG INSURANCE SERVICES
Entity Type:Organization
Organization Name:MG INSURANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOZE
Authorized Official - Middle Name:
Authorized Official - Last Name:GHOMGHALEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-526-9608
Mailing Address - Street 1:P.O. BOX 567
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97075
Mailing Address - Country:US
Mailing Address - Phone:503-526-9608
Mailing Address - Fax:
Practice Address - Street 1:9725 SW BEAVERTON HILLSDALE HWY
Practice Address - Street 2:SUITE 300
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-3341
Practice Address - Country:US
Practice Address - Phone:503-526-9608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-23
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage