Provider Demographics
NPI:1487684247
Name:MCCLOSKEY, MARGARET MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:MARY
Last Name:MCCLOSKEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9155 SW BARNES ROAD
Mailing Address - Street 2:SUITE 840
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225
Mailing Address - Country:US
Mailing Address - Phone:503-296-7800
Mailing Address - Fax:503-291-1584
Practice Address - Street 1:9155 SW BARNES ROAD
Practice Address - Street 2:SUITE 840
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225
Practice Address - Country:US
Practice Address - Phone:503-296-7800
Practice Address - Fax:503-291-1584
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OROR 16838208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR033121Medicaid
OROR 16838OtherSTATE MEDICAL LIC NUMBER
ORF73048Medicare UPIN