Individual
JOHN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5411 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7057
(360) 695-2823
(360) 823-1088
Mailing address
5411 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7057
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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