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Individual

DR. ROBERT CONOVER MACAULEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8417
(503) 494-4455
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8417
(503) 494-4455

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0420010479
VT
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
182551
OR

Other

Enumeration date
01/18/2007
Last updated
07/21/2022
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