Individual
MR. JAMES E MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
619 NW 6TH AVE FL 3, PORTLAND, OR 97209-3964
(503) 988-5020
(503) 988-5022
Mailing address
619 NW 6TH AVE FL 5, PORTLAND, OR 97209-3964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
000033039N1 FNP-PP
OR
363LF0000X
Family Nurse Practitioner
AP30007095
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23957-4
—
OR
Enumeration date
10/18/2006
Last updated
11/26/2019
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