Healthcare Provider Details
I. General information
NPI: 1326179102
Provider Name (Legal Business Name): GARRETH D. MACDONALD DC PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
525 E 11TH AVE
EUGENE OR
97401-3606
US
IV. Provider business mailing address
525 E 11TH AVE
EUGENE OR
97401-3606
US
V. Phone/Fax
- Phone: 541-343-4343
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | OR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 3211 |
| License Number State | OR |
VIII. Authorized Official
Name: DR.
GARRETH
MACDONALD
Title or Position: PRESIDENT
Credential: D.C.
Phone: 541-343-4343