Individual
MAGGIE MCKENZIE YOUNG GREENSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12150 SW WESTFALL RD, SHERWOOD, OR 97140-7207
(503) 545-8688
Mailing address
6002 SE REEDWAY ST, PORTLAND, OR 97206-5445
(503) 704-5769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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