CALLUM HART MACKINTOSH

PORTLAND, OR
NPI1902427776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  PA207556)
Enumeration Date2020-05-02
Last Update Date2023-11-22
Business Address
CALLUM HART MACKINTOSH
5050 NE HOYT ST STE 359
PORTLAND, OR 97213-2983
Phone number: 503-935-8501
Mailing Address
CALLUM HART MACKINTOSH
541 NE 20TH AVE STE 225
PORTLAND, OR 97232-2895
Phone number: 503-963-2801
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