| Jeffrey T Donaldson, CRNA | |
|
1253 Nw Canal Blvd, Redmond, OR 97756-1334 | |
| (541) 548-8131 | |
| (541) 516-3877 |
| Full Name | Jeffrey T Donaldson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1253 Nw Canal Blvd, Redmond, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285779298 | NPI | - | NPPES |
| 500609374 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 200260031 (Oregon) | Primary |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Entity Name | Anesthesia Associates Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
| Entity Name | High Desert Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730895400 PECOS PAC ID: 9436515939 Enrollment ID: O20230524003341 |
| Entity Name | Emerald Valley Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679355820 PECOS PAC ID: 8729437199 Enrollment ID: O20231211001129 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey T Donaldson, CRNA Po Box 6096, Bend, OR 97708-6096 Ph: (541) 548-8131 | Jeffrey T Donaldson, CRNA 1253 Nw Canal Blvd, Redmond, OR 97756-1334 Ph: (541) 548-8131 |
Timothy L Kelly, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 732 Sw 23rd St, Redmond, OR 97756 Phone: 541-548-7483 |