Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | H5076 | TX |
NPI | 1154360584 |
---|---|
Provider Name | Dr. Margaret Carol Sunderland |
First Address | Corvallis, OR 97330-3757 |
Second Address | Corvallis, OR 97330-3757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 03/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
134694208 | (05) | TX |
134694209 | (05) | TX |
8R1562 | BLUE CROSS OF TEXAS (01) | TX |
E92363 | (02) | TX |