Individual
DAKOTA SHAWN DONAHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3860 CRATER LAKE AVE # A, MEDFORD, OR 97504-9741
(541) 858-1003
(541) 779-0986
Mailing address
2900 STATE ST, MEDFORD, OR 97504-8458
(541) 779-1672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
179569
OR
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/13/2015
Last updated
10/23/2024
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