Provider Demographics
NPI:1578716841
Name:SANGER, M. MARGARET (MAC, LAC)
Entity Type:Individual
Prefix:MS
First Name:M.
Middle Name:MARGARET
Last Name:SANGER
Suffix:
Gender:F
Credentials:MAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1427 NW 23RD AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-2645
Mailing Address - Country:US
Mailing Address - Phone:503-221-6631
Mailing Address - Fax:
Practice Address - Street 1:1427 NW 23RD AVE STE 3
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2645
Practice Address - Country:US
Practice Address - Phone:503-221-6631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC01087171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist