Patrick C McDonald MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD13817 Issued in OR

Legal business name

PATRICK C MCDONALD MD PC

Doing business as

Evergreen Family Care

Practice address

685 Evergreen Rd
Woodburn, OR 97071

Phone

(503) 982-2212

Fax

(503) 982-2214

NPI assigned

Aug 12, 2006

Last updated

Sep 22, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick Charles McDonald, MD

Title

President

Phone

(503) 982-2212

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Evergreen Family Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1235141086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 EVERGREEN RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "97071",
            "telephone_number": "503-982-2212",
            "fax_number": "503-982-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 EVERGREEN RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "97071",
            "telephone_number": "503-982-2212",
            "fax_number": "503-982-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK C MCDONALD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-982-2212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD13817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "067900000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "110204464",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207217",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian James Parker, RN
• Lesley Maclean Parker
• Rachel Parker, L.M.T
• Alanna Pascoal
• Suzanne Paterson, RN
• Jill C Pearson, MD
• Shannon Pearson, PHARMD
• Lupita Pena-Baltazar, QMHA
• Jesus Perez-Sanchez
• Yanira A Perez, INTERPRETER

• Family Medicine Physician in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.