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Individual

DR. NICOLE MARIE MCKAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
4104 SE 82ND AVE, SUITE 450, PORTLAND, OR 97266-2954
(503) 771-4324
(503) 771-4458
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(775) 720-9324

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9939
OR

Other

Enumeration date
06/10/2011
Last updated
05/22/2015
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