Individual
CHARLES MCDONALD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 726-4467
Mailing address
515 SPRUCE CT, CRESWELL, OR 97426-9589
(541) 285-7435
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RTP10121581
OR
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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