Marguerite Louise Hanson, L.M.P.
Individual provider Active NPI Contractor · Bothell, WA
NPI 1013045814 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013045814
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- MA00012063 (WA)
- Practice address
- 21706 4TH Ave SE
Bothell, WA 98021-8247 - Phone
- (206) 276-3891
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00012063 | WA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MA00012063 | WA | Yes |
Addresses
Primary practice location
21706 4TH Ave SE
Bothell, WA 98021-8247
Mailing address
21706 4TH Ave SE
Bothell, WA 98021-8247
Phone (206) 276-3891
Other names
- Margot L Hanson
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.