Individual
SUZANNE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9155 SW BARNES RD, PORTLAND, OR 97225-6625
(503) 216-2339
Mailing address
9155 SW BARNES RD, PORTLAND, OR 97225-6625
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014021
OR
Other
Enumeration date
08/23/2016
Last updated
09/25/2020
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