# RICHARD MACDONELL MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MyMD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649334285
- **Authorized official:** DR. RICHARD ALAN MAC DONELL M.D. (PHYSICIAN)
- **Authorized official phone:** (541) 322-6869

## Contact information

- **Practice address:** 2190 NE PROFESSIONAL CT, \#200, BEND, OR 97701-6065
- **Practice address phone:** (541) 322-6869
- **Practice address fax:** (541) 639-3655
- **Mailing address:** 2190 NE PROFESSIONAL CT, \#200, BEND, OR 97701-6065
- **Mailing address phone:** (541) 322-6869
- **Mailing address fax:** (541) 639-3655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD22659 | OR | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 02/27/2013