Individual
DR. KELVIN D MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., R.R.T.
Contact information
Practice address
707 SW GAINES ST, CDRCP, PORTLAND, OR 97239-2901
(503) 494-8023
(503) 494-8898
Mailing address
707 SW GAINES ST, CDRCP, PORTLAND, OR 97239-2901
(503) 494-8023
(503) 494-8898
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
D0062047
MD
2080P0214X
Pediatric Pulmonology Physician
Primary
MD161212
OR
Other
Enumeration date
01/26/2007
Last updated
10/04/2013
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