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Contact Information

RICHARD S MCNALLY, M.D/PH.D.
5050 NE HOYT ST STE 422
PORTLAND, OR97213
 Phone: 503-488-2345
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RICHARD S MCNALLY · (Male)

NPI # 1811255250
Status Active
Credentials M.D/PH.D.
Entity Individual
Enumeration date 04/23/2012
Last updated 11/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD189901
  • OR Medicaid 500749305
  • WA Medicaid 2106744
Hospital affiliation(s)
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
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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