Individual
MICHAEL MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 E LINCOLN RD, WOODBURN, OR 97071-5137
(503) 982-9304
Mailing address
1605 E LINCOLN RD, WOODBURN, OR 97071-5137
(503) 982-9304
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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