Individual
MACKENZIE ELIZABETH COSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CGC
Contact information
Practice address
501 N GRAHAM ST STE 330B, PORTLAND, OR 97227-2009
(360) 393-7727
Mailing address
444 S BOUNDARY ST APT 311, PORTLAND, OR 97239-8507
(360) 393-7727
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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