Individual
DR. RICHARD SEAN MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D/PH.D.
Contact information
Practice address
5050 NE HOYT ST STE 422, PORTLAND, OR 97213
(503) 488-2345
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD189901
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106744
—
WA
05
—
500749305
—
OR
Enumeration date
04/23/2012
Last updated
11/28/2023
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