Macdonald, Raymond
Macdonald, Raymond is an individual health care provider with primary practice located at 58646 Mcnulty Way , Saint Helens OR 97051-6210. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Macdonald, Raymond can be contacted via phone (503) 397-5211.Contact Information
Primary practice address
58646 Mcnulty Way
Saint Helens OR 97051-6210
Phone: (503) 397-5211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS 22403 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | A2936 | Oregon |
Profile Details
| NPI number | 1487779203 |
|---|---|
| LBN Legal business name | Macdonald, Raymond |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Sep 6th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487779203 | NPPES |
| Oregon | MEDICAID | 123190 |
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