Provider Demographics
NPI:1952989857
Name:MCGANN, MARGARET SUZANNE (DNP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:SUZANNE
Last Name:MCGANN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:MCGANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP
Mailing Address - Street 1:PO BOX 70368
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97475-0120
Mailing Address - Country:US
Mailing Address - Phone:541-485-2777
Mailing Address - Fax:
Practice Address - Street 1:10 COBURG RD STE 100
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-7479
Practice Address - Country:US
Practice Address - Phone:541-868-9700
Practice Address - Fax:541-868-9844
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20200187163W00000X
OR202000187RN163W00000X
OR10016823367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse