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Individual

MS. ALICIA LOUISE MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
905 SE ANKENY ST, PORTLAND, OR 97214-1349
(321) 213-7930
Mailing address
5835 SE OGDEN ST, PORTLAND, OR 97206-7551
(321) 213-7930

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63813
OR
225100000X
Physical Therapist
PT 4260
AR
225100000X
Physical Therapist
PT-27905
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
229940721
AR
Enumeration date
11/05/2012
Last updated
07/29/2025
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