NATHAN J MACDONALD

MEDFORD, OR
NPI1114487956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-03-20
Last Update Date2019-03-20
Business Address
NATHAN J MACDONALD
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
Mailing Address
NATHAN J MACDONALD
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763