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Individual

MR. CHARLES MALCOLM MCDANNALD III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
7736 SW BURLINGAME AVE, PORTLAND, OR 97219-4442
(503) 922-1231
Mailing address
7736 SW BURLINGAME AVE, PORTLAND, OR 97219-4442
(503) 922-1231

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200760026CRNA
OR

Other

Enumeration date
09/08/2005
Last updated
05/12/2008
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