MACKENZIE JOHN MUNSON

PORTLAND, OR
NPI1821987132
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-10205491)
Enumeration Date2025-07-01
Last Update Date2025-07-01
Business Address
MACKENZIE JOHN MUNSON ATC
930 SW HALL ST
PORTLAND, OR 97201
Phone number: 503-312-8752
Mailing Address
MACKENZIE JOHN MUNSON ATC
4385 NW PALO VERDE PL
BEAVERTON, OR 97006-7484
Phone number: