Individual
DR. JEFFREY H MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3043 NE 28TH ST, LINCOLN CITY, OR 97367-4518
(541) 994-3661
Mailing address
PO BOX 1194, CORVALLIS, OR 97339-1194
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M-13506
ID
207P00000X
Emergency Medicine Physician
M-2028
GU
207P00000X
Emergency Medicine Physician
MD00031735
WA
207P00000X
Emergency Medicine Physician
Primary
MD18976
OR
207P00000X
Emergency Medicine Physician
MED-PHYS-LIC-43939
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074059
—
OR
05
—
8180218
—
WA
05
—
G8855567
—
WA
Enumeration date
06/02/2006
Last updated
03/15/2021
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