Individual
HANORAH BRIGHID MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP AGACNP
Contact information
Practice address
712 JAY ST, FOSSIL, OR 97830-8371
(541) 763-2725
Mailing address
PO BOX 141, CONDON, OR 97823-0141
(541) 384-2287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
202011101NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202011100NP-PP
AGACNP LICENSE
OR
01
—
202011101NP-PP
FNP LICENSE
OR
Enumeration date
03/22/2021
Last updated
03/22/2021
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