| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARGARET PERSING | 1871197731 | 2020-11-22 |
| Entity Type | Individual |
| Provider Name | Margaret Persing AGACNP-BC |
| Practice Office Address | 593 EDDY ST PROVIDENCE, RI US |
| Practice Office Telephone | 4014444000 |
| Mailing Address | 5925 SE KELLY ST PORTLAND, OR 972062051 US |
| Business Telephone | 4088437101 |
| Code | License No | State |
|---|---|---|
| 2084A2900X | 201909434NP-PP | OR |
| 363LA2100X PRIMARY | 201909434NP-PP | OR |