Alysia Marie McDonald, PA-C
Individual provider Active NPI Physician Assistant · Boardman, OR
NPI 1891207486 · NPPES record last updated Nov 3, 2017
Key facts
- NPI
- 1891207486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA185287 (OR)
- Practice address
- 450 Tatone St
Boardman, OR 97818-8076 - Phone
- (541) 481-7212
- NPI assigned
- Nov 3, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA185287 | OR | MD | Physician Assistant |
Interoperability endpoints
- alysia.mcdonald.1@15532.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA185287 | OR | Yes |
Addresses
Primary practice location
450 Tatone St
Boardman, OR 97818-8076
Mailing address
201 Cottonwood St
Gaston, OR 97119-8628
Other providers in Boardman, OR
- Melanie Marie Lundeberg
- Nathan Grey Lystrup
- Steven F Maher
- Stevens Cloyd Marshall
- Emily Ann May
- Camren Lee Miller
- Kymberli Dawn Mills
- Lori Montez
- Saige Moore
- Cydney M. Morgan
All providers in Boardman, OR · Physician Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.