Mcanulty, David A.

Mcanulty, David A. is an individual health care provider with primary practice located at 6327 Se Milwaukie Ave , Portland OR 97202-5418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcanulty, David A. can be contacted via phone (503) 659-4988.

Contact Information

Primary practice address
6327 Se Milwaukie Ave Portland OR 97202-5418
Phone: (503) 659-4988
Fax: (503) 353-1297
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD17177 Oregon

Profile Details

NPI number 1912981168
LBN Legal business name Mcanulty, David A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 17th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912981168 NPPES
Oregon Other 080119173 RR MEDICARE
Oregon MEDICAID 028527 RR MEDICARE

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