Individual
DR. STEVEN E MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4361 SW BERTHA AVE, PORTLAND, OR 97239-1577
(503) 729-8966
Mailing address
4361 SW BERTHA AVE, PORTLAND, OR 97239-1577
(503) 729-8966
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD14036
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026997
—
OR
01
—
050035231
RR MEDICARE
OR
05
—
1048834
—
WA
05
—
1346264074
—
MT
05
—
MD036OR
—
AK
05
—
XPY197569
—
CA
Enumeration date
07/26/2006
Last updated
04/24/2014
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