Organization
PATRICK C MCDONALD MD PC
Active
Other names
Evergreen Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK CHARLES MCDONALD MD (PRESIDENT)
(503) 982-2212
Entity
Organization
Contact information
Practice address
685 EVERGREEN RD, WOODBURN, OR 97071
(503) 982-2212
(503) 982-2214
Mailing address
685 EVERGREEN RD, WOODBURN, OR 97071
(503) 982-2212
(503) 982-2214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13817
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067900000
BC
—
01
—
110204464
RR MC
—
05
—
207217
—
OR
Enumeration date
08/12/2006
Last updated
09/22/2010
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