Individual
ROBERT CHASE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1150 N SISTER CATHERINE WAY, NAMPA, ID 83687-3133
(208) 302-7050
(208) 302-7055
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1451
ID
363A00000X
Physician Assistant
PA10005181
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0221381
LABOR & IND.
WA
05
—
8483737
—
WA
01
—
8944544
CRIME VICTIMS
WA
Enumeration date
03/02/2007
Last updated
11/08/2024
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