Provider Demographics
NPI:1629436498
Name:MCCABE, MARGARITA MARIA (LMT)
Entity Type:Individual
Prefix:MS
First Name:MARGARITA
Middle Name:MARIA
Last Name:MCCABE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 SE SCHILLER ST
Mailing Address - Street 2:APT A
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206
Mailing Address - Country:US
Mailing Address - Phone:503-891-9924
Mailing Address - Fax:
Practice Address - Street 1:5310 SE SCHILLER ST
Practice Address - Street 2:APT. A
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-4873
Practice Address - Country:US
Practice Address - Phone:503-891-9924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-08
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist