PATRICK C MCDONALD MD PC (NPI# 1235141086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235141086 |
| Entity Type | Organization |
| Organization Name | PATRICK C MCDONALD MD PC |
| Other Organization Name | EVERGREEN FAMILY CARE |
| Practice Address |
685 Evergreen Rd Woodburn OR 97071 |
| Practice Telephone | 5039822212 |
| Practice Fax Number | 5039822214 |
| Mailing Telephone | 5039822212 |
| Mailing Fax Number | 5039822214 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2010-09-22 |
| Authorized Official Name | PATRICK CHARLES MCDONALD (PRESIDENT) |
| Authorized Official Telephone | 5039822212 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD13817 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MC | 110204464 | 01 | |
| BC | 067900000 | 01 | |
| OR | 207217 | 05 |
| Other Name | Type Code |
|---|---|
| Evergreen Family Care | Doing Business As Name - Organization |
| Street Address |
685 EVERGREEN RD |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245554211 | Alison B Carrigg | Dermatology | 685 Evergreen Rd, Woodburn, OR 97071 | 2010-03-19 |
| 1790976207 | Jason Chen Kee Ling | Physician Assistant | 685 Evergreen Rd, Woodburn, OR 97071-2910 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| Find all providers in zip 97071 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003174285 | J Salvador Yalung De La Cruz | Family Medicine | 105 Arney Rd Ste 120, Woodburn, OR 97071-9472 | 2012-04-25 |
| 1376686659 | Joseph Paul Whitson | Family Medicine | 1475 Mt Hood Ave, Silverton Hospital Immediate Care, Woodburn, OR 97071 | 2007-02-15 |
| 1902995376 | Denise Chun | Family Medicine | 1175 Mount Hood Avenue, Woodburn, OR 97071 | 2006-10-12 |
| 1578112066 | Salem Health | Family Medicine | 105 Arney Rd Ste 120, Woodburn, OR 97071-9472 | 2019-09-06 |
| 1790149573 | Wayne Christopher Raneiro | Family Medicine | 105 Arney Rd Ste 120, Woodburn, OR 97071-9472 | 2016-04-07 |
| 1346603792 | Jean-huei Yau | Family Medicine | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2016-04-02 |
| 1528457397 | Mania Kupershtok | Family Medicine | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2015-01-16 |
| 1922445394 | Annalisa Colleen Hawthorne | Family Medicine | 1002 N Boones Ferry Rd, Woodburn, OR 97071-9602 | 2013-05-26 |
| 1952666166 | Katherine Snyder | Family Medicine | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2012-07-13 |
| 1053606137 | Jenna Marie Donaldson | Family Medicine | 1002 N Boones Ferry Rd, Woodburn, OR 97071-9602 | 2011-06-16 |
| Find all providers in WOODBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.