Gorham, Margaret A

Gorham, Margaret A is an individual health care provider with primary practice located at 4011 Talbot Rd S Suite 500, Renton WA 98055-5773. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gorham, Margaret A can be contacted via phone (425) 251-5110.

Contact Information

Primary practice address
4011 Talbot Rd S Suite 500 Renton WA 98055-5773
Phone: (425) 251-5110
Fax: (425) 793-7380
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00C92207 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30005897 Washington

Profile Details

NPI number 1144302134
LBN Legal business name Gorham, Margaret A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated May 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144302134 NPPES
Washington MEDICAID 9632811

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