Mcdonell, Miriam D

Mcdonell, Miriam D is an individual health care provider with primary practice located at 1730 E 12Th St , The Dalles OR 97058. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Mcdonell, Miriam D can be contacted via phone (541) 296-9151.

Contact Information

Primary practice address
1730 E 12Th St The Dalles OR 97058
Fax: (541) 296-9156
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD18477 Oregon

Profile Details

NPI number 1962602631
LBN Legal business name Mcdonell, Miriam D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Feb 2nd, 2009 - about 16 years 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 1962602631 NPPES
Oregon MEDICAID 276259

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