Individual
NAOMI RENEE MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1600 S MAIN ST, LEBANON, OR 97355-3109
(541) 451-5932
Mailing address
1600 S MAIN ST, LEBANON, OR 97355-3109
(541) 451-5932
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200843096RN
OR
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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