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Contact Information

MIRIAM D MCDONELL, MD
1730 E 12TH ST
THE DALLES, OR97058
 Phone: 541-296-9151
 Fax: 541-296-9156
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MIRIAM D MCDONELL · (Female)

NPI Number 1962602631
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2007
Last updated 02/02/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD18477
  • OR Medicaid 276259
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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