Provider Demographics
NPI:1962712646
Name:NAKAGAWA, MARGARET
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:NAKAGAWA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARGO
Other - Middle Name:
Other - Last Name:NAKAGAWA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6311 SW 153RD AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007
Mailing Address - Country:US
Mailing Address - Phone:503-526-8719
Mailing Address - Fax:
Practice Address - Street 1:325 SE 13TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97702
Practice Address - Country:US
Practice Address - Phone:503-258-4656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program