Individual
MR. RICHARD J. MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
(425) 261-4462
Mailing address
10 COMMERCE DR, NEW ROCHELLE, NY 10801-5214
(914) 637-3510
(914) 819-0061
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00162688
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9649377
—
WA
Enumeration date
08/16/2006
Last updated
10/22/2009
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