1073674289 NPI number — DR. COLLEEN BRIDGET MCDONOUGH D.C.

Table of content: DR. COLLEEN BRIDGET MCDONOUGH D.C. (NPI 1073674289)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073674289 NPI number — DR. COLLEEN BRIDGET MCDONOUGH D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCDONOUGH
Provider First Name:
COLLEEN
Provider Middle Name:
BRIDGET
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073674289
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
358 SUPERIOR ST SE
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
SALEM
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97302-5170
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-485-0830
Provider Business Mailing Address Fax Number:
503-485-0831

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
358 SUPERIOR ST SE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97302-5170
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-485-0830
Provider Business Practice Location Address Fax Number:
503-485-0831
Provider Enumeration Date:
12/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111NR0400X , with the licence number:  272948 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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