Basic Information
| Provider Information | |||||||||
| NPI: | 1598862229 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KING | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | WEBB | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3615 NW SAMARITAN DR STE 203 | ||||||||
| Address2: | |||||||||
| City: | CORVALLIS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 973303771 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417686930 | ||||||||
| FaxNumber: | 5417686931 | ||||||||
| Practice Location | |||||||||
| Address1: | 3615 NW SAMARITAN DR STE 203 | ||||||||
| Address2: | |||||||||
| City: | CORVALLIS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 973303771 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417686930 | ||||||||
| FaxNumber: | 5417686931 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/17/2006 | ||||||||
| LastUpdateDate: | 06/26/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/26/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | 61154 | MT | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 207RN0300X | MD00035259 | WA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 207RN0300X | MD174409 | OR | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.