Michael Macdonald

NPI #1659818508 in Woodburn, Oregon

Provider Information

NPI Number: 1659818508
Entity Type: Individual
Name: Michael Macdonald
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 30, 2017
Last Updated: Jan 30, 2017

Practice Location

Address: 1605 E LINCOLN RD
City: Woodburn
State: Oregon
ZIP Code: 97071-5137
Phone: (503) 982-9304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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