Dr. Robert Conover Macauley Jr., M.D.
Pediatrics, Hospice and Palliative Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1881746899
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1881746899
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert Conover Macauley Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2007
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080H0002X | Pediatrics, Hospice and Palliative Medicine | 182551 | OR | Yes |
| 208000000X | Pediatrics | 0420010479 | VT |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-8417 · Fax 503-494-4455
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-8417 · Fax 503-494-4455
Other practice locations
111 Colchester Ave
Fletcher Allen Health Care -- Smith 266
Burlington, VT 05401-1473
Fletcher Allen Health Care -- Smith 266
Burlington, VT 05401-1473
Phone 802-847-2000 · Fax 802-847-5322
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