Individual
MRS. ALYSIA MARIE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 TATONE ST, BOARDMAN, OR 97818-8076
(541) 481-7212
Mailing address
201 COTTONWOOD ST, GASTON, OR 97119-8628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA185287
OR
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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