Active NPI
Margaret E Gordon, DVM
- Veterinarian
- Port Angeles, WA
National Provider Identifier
1508152521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- VT60095715
- Practice address
- 2972 Old Olympic Hwy
Port Angeles, WA 98362-9121 - Phone
- (360) 457-3842
- Fax
- (360) 452-7430
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | VT60095715 | WA | Primary |
Addresses
Primary practice location
2972 Old Olympic Hwy
Port Angeles, WA 98362-9121
Mailing address
2972 Old Olympic Hwy
Port Angeles, WA 98362-9121
Phone (360) 457-3842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VT60095715 | Other | WA | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VT60095715 | WA | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1508152521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2972 OLD OLYMPIC HWY",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983629121",
"telephone_number": "360-457-3842",
"fax_number": "360-452-7430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2972 OLD OLYMPIC HWY",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983629121",
"telephone_number": "360-457-3842",
"fax_number": "360-452-7430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "MARGARET",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "WA",
"license": "VT60095715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "VT60095715",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.