Provider Demographics
NPI:1730127796
Name:TOWNSEND-FIXOTT, DAWNA-MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAWNA-MARIE
Middle Name:
Last Name:TOWNSEND-FIXOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 SW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-2113
Mailing Address - Country:US
Mailing Address - Phone:541-316-2277
Mailing Address - Fax:541-316-2278
Practice Address - Street 1:215 SW 7TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2113
Practice Address - Country:US
Practice Address - Phone:541-316-2277
Practice Address - Fax:541-316-2278
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD25339207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR213375Medicaid
OR131494Medicare ID - Type Unspecified
OR213375Medicaid