Provider Demographics
NPI:1811735772
Name:MCNEIL, DONALD
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:MCNEIL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:IONE
Mailing Address - State:OR
Mailing Address - Zip Code:97843-0066
Mailing Address - Country:US
Mailing Address - Phone:590-599-5607
Mailing Address - Fax:
Practice Address - Street 1:68982 WILLOW CREEK RD
Practice Address - Street 2:PO BOX 536
Practice Address - City:HEPPNER
Practice Address - State:OR
Practice Address - Zip Code:97836
Practice Address - Country:US
Practice Address - Phone:541-676-5125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist