Individual
MACKENZI BADGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17005 SE SUNNYSIDE RD, HAPPY VALLEY, OR 97015-8724
(971) 999-6284
Mailing address
297 PARADISE ACRES RD, KALAMA, WA 98625-9715
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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