Provider Demographics
NPI:1497794531
Name:HUBBARD, MARGARET M (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:M
Last Name:HUBBARD
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 1:1035 116TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4604
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5708 E LAKE SAMMAMISH PKWY SE
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-8942
Practice Address - Country:US
Practice Address - Phone:425-635-6731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000030960207P00000X
WAMD00030960207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
8938305OtherWA CRIME VICTIMS
E76551OtherGROUP HEALTH
HU2089OtherREGENCE BS
184580OtherWA L & I
WA8148983Medicaid
E76551Medicare UPIN
8802602Medicare PIN
DB9277Medicare PIN
HU2089OtherREGENCE BS
WA8148983Medicaid