Individual
MACKENZIE MARGARET CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
470 6TH ST STE C, LAKE OSWEGO, OR 97034
(503) 505-9806
(503) 505-9807
Mailing address
470 6TH ST STE C, LAKE OSWEGO, OR 97034-2920
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4477
OR
Other
Enumeration date
10/06/2022
Last updated
08/15/2023
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