Individual
MR. DANIEL MCDONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN PMH-NP
Contact information
Practice address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1400
(541) 417-3455
(541) 471-1439
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1400
(541) 417-3455
(541) 471-1439
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN 732662
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
041330155
IL
163WP0808X
Psychiatric/Mental Health Registered Nurse
200943049RN
OR
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN 732662
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200950161NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP 18356
CA
Other
Enumeration date
03/18/2008
Last updated
03/27/2012
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