Provider Demographics
NPI:1215990544
Name:HALL, MARGARET LEE (DO)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:LEE
Last Name:HALL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MARGO
Other - Middle Name:LEE
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:7714 RAY NASH DR NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-6273
Mailing Address - Country:US
Mailing Address - Phone:253-509-8818
Mailing Address - Fax:
Practice Address - Street 1:4224 SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-4430
Practice Address - Country:US
Practice Address - Phone:253-509-8828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT101381207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8908939Medicare PIN