Individual
PIPPA MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 SE 172ND AVE STE 220, VANCOUVER, WA 98684-9542
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
MD61302082
WA
2084N0400X
Neurology Physician
MD189062
OR
2084N0400X
Neurology Physician
Primary
MD61302082
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038032
—
WA
Enumeration date
05/06/2014
Last updated
03/21/2023
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