Provider Demographics
NPI:1922103423
Name:DUNN, MARGARET M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:M
Last Name:DUNN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 E. DAVIS ROAD
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OR
Mailing Address - Zip Code:97045
Mailing Address - Country:US
Mailing Address - Phone:503-650-7078
Mailing Address - Fax:503-650-4726
Practice Address - Street 1:VA MEDICAL CENTER
Practice Address - Street 2:3710 S.W. US VETERANS HOSPITAL ROAD (V-3-CNH)
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-2964
Practice Address - Country:US
Practice Address - Phone:503-650-7078
Practice Address - Fax:503-650-4726
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL1239104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker