Individual
DR. IAN ROSS DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
775 SW 9TH ST STE H, NEWPORT, OR 97365-4876
(541) 574-4767
(541) 574-4747
Mailing address
775 SW 9TH ST STE H, NEWPORT, OR 97365-4876
(541) 574-4767
(541) 574-4747
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A24576
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010162464
BLUE SHIELD
ID
01
—
000010162465
BLUE SHIELD
ID
05
—
002704900
—
ID
01
—
B5667
BLUE CROSS OF IDAHO
ID
Enumeration date
02/19/2007
Last updated
08/01/2014
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