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Individual

JEFFREY T DONALDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 548-8131
(541) 516-3877
Mailing address
PO BOX 6096, BEND, OR 97708-6096
(541) 548-8131
(541) 516-3877

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200260031
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500609374
OR
Enumeration date
02/20/2007
Last updated
10/10/2013
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