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1639192693
MACKENZIE E DOUGLAS
PORTLAND, OR
NPI
1639192693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D8647)
Enumeration Date
2006-07-25
Last Update Date
2021-01-21
Business Address
Ms. MACKENZIE E DOUGLAS D.M.D.
7615 SW CAPITOL HWY
PORTLAND, OR 97219-2436
Phone number: 503-244-3712
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Mailing Address
Ms. MACKENZIE E DOUGLAS D.M.D.
7615 SW CAPITOL HWY
PORTLAND, OR 97219-2436
Phone number: 503-244-3712
Copy
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