Provider Demographics
NPI:1841362738
Name:ENG, MARGARET (LAC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:ENG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:MARJORIE
Other - Middle Name:
Other - Last Name:ENG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:612 N FIRST ST
Mailing Address - Street 2:
Mailing Address - City:SILVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97381
Mailing Address - Country:US
Mailing Address - Phone:503-873-6705
Mailing Address - Fax:
Practice Address - Street 1:612 N FIRST ST
Practice Address - Street 2:
Practice Address - City:SILVERTON
Practice Address - State:OR
Practice Address - Zip Code:97381
Practice Address - Country:US
Practice Address - Phone:503-873-6705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OROR00086171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
931043991Medicare UPIN