Individual
DR. MARK W. DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 N SANTIAM HWY, LEBANON, OR 97355-4363
(541) 451-7115
(541) 451-7095
Mailing address
525 N SANTIAM HWY, LEBANON, OR 97355-4363
(541) 451-7115
(541) 451-7095
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD23406
OR
Other
Enumeration date
06/16/2006
Last updated
12/08/2011
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