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Individual

SHANE MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3303 SW BOND AVE FL 11, PORTLAND, OR 97239-4501
(503) 494-3000
Mailing address
6985 ROSEN LAKE RD., BOX 13, JAFFRAY, BRITISH COLUMBIA V0B1T-0
(503) 707-0409

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3606ATI
OR

Other

Enumeration date
02/18/2015
Last updated
06/11/2015
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