ANNIE SEAPAN MACK

PORTLAND, OR
NPI1932125184
Former NameANNIE SEAPAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: OR  MD27041)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OR  MD27041)
Enumeration Date2006-07-14
Last Update Date2024-04-03
Business Address
ANNIE SEAPAN MACK MD
9555 SW BARNES RD STE 255
PORTLAND, OR 97225-6654
Phone number: 503-908-1590
Mailing Address
ANNIE SEAPAN MACK MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494