Provider Demographics
NPI:1447313788
Name:MCBRIDE, DONALD DEAN (ND)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:DEAN
Last Name:MCBRIDE
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1305 BROADWAY ST NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-1425
Mailing Address - Country:US
Mailing Address - Phone:503-364-1441
Mailing Address - Fax:503-364-9924
Practice Address - Street 1:1305 BROADWAY ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-1425
Practice Address - Country:US
Practice Address - Phone:503-364-1441
Practice Address - Fax:503-364-9924
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1049175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath