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1790505873
MARISA MACKENZIE
PORTLAND, OR
NPI
1790505873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OR 10032067)
Enumeration Date
2024-10-14
Last Update Date
2024-10-14
Business Address
MARISA MACKENZIE
10930 SW 65TH AVE
PORTLAND, OR 97219-6704
Phone number: 503-504-4006
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Mailing Address
MARISA MACKENZIE
10930 SW 65TH AVE
PORTLAND, OR 97219-6704
Phone number: 503-504-4006
Copy
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