Individual
MRS. SANDRA D. MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7530 20TH AVE. S.W., SEATTLE, WA 98106
(206) 763-8964
Mailing address
P.O. BOX 47210, SEATTLE, WA 98146-7210
(206) 763-8964
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00007065
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7193777
PIN
WA
Enumeration date
05/03/2007
Last updated
07/08/2007
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