Provider Demographics
NPI:1497933592
Name:MCDONALD, MARGARET CLARE (PHD, MSOM, ND, LAC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:CLARE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:PHD, MSOM, ND, LAC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:CLARE
Other - Last Name:HAMMITT-MCDONALD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:615 BROADWAY ST
Mailing Address - Street 2:SUITE 216
Mailing Address - City:SEASIDE
Mailing Address - State:OR
Mailing Address - Zip Code:97138-6846
Mailing Address - Country:US
Mailing Address - Phone:503-738-9901
Mailing Address - Fax:503-738-9901
Practice Address - Street 1:615 BROADWAY ST STE 216
Practice Address - Street 2:
Practice Address - City:SEASIDE
Practice Address - State:OR
Practice Address - Zip Code:97138-6846
Practice Address - Country:US
Practice Address - Phone:503-738-9901
Practice Address - Fax:503-738-9901
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1590175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORAC01274OtherACUPUNCTURE
OR218639Medicaid
OR218639Medicaid