Provider Demographics
NPI:1639441595
Name:MARGES, ANDREW ROSS (RN)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:ROSS
Last Name:MARGES
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 SW FAIRMOUNT BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-1472
Mailing Address - Country:US
Mailing Address - Phone:503-223-3773
Mailing Address - Fax:
Practice Address - Street 1:3220 SW FAIRMOUNT BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-1472
Practice Address - Country:US
Practice Address - Phone:503-223-3773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200340083RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse