Individual
RICHARD A MACDONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
695 NW YORK DR STE 100, BEND, OR 97703-9702
(541) 322-6869
(541) 639-3655
Mailing address
695 NW YORK DR STE 100, BEND, OR 97703-9702
(541) 322-6869
(541) 639-3655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD22659
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287696
—
OR
Enumeration date
06/07/2006
Last updated
08/17/2021
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