Individual
MS. MCKENZIE MARIE ALEXANDRA GASSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10000 SE MAIN ST STE 260, PORTLAND, OR 97216-2448
(503) 346-1500
(503) 346-1501
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(866) 617-6855
(503) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA6840
MA
363AS0400X
Surgical Physician Assistant
Primary
PA213830
OR
Other
Enumeration date
01/29/2019
Last updated
06/06/2023
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