Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 6048 | OR |
NPI | 1235777806 |
---|---|
Provider Name | Dr. Margaret Catherine Sels |
First Address | Portland, OR 97239-4739 |
Second Address | Portland, OR 97239-4739 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2019 |
Last Update Date | 14/12/2019 |