Individual
MR. ALEXANDER 'SANDY' FREDERICK MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
754 NW BROADWAY ST, SUITE #201, BEND, OR 97701-2776
(541) 647-8109
Mailing address
PO BOX 1735, BEND, OR 97709-1735
(541) 647-8109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3752
OR
Other
Enumeration date
04/27/2010
Last updated
03/08/2012
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