MARISA MACKENZIE

PORTLAND, OR
NPI1790505873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OR  10032067)
Enumeration Date2024-10-14
Last Update Date2024-10-14
Business Address
MARISA MACKENZIE
10930 SW 65TH AVE
PORTLAND, OR 97219-6704
Phone number: 503-504-4006
Mailing Address
MARISA MACKENZIE
10930 SW 65TH AVE
PORTLAND, OR 97219-6704
Phone number: 503-504-4006