Individual
LINDSEY MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4805 NE GLISAN ST STE BG05, PORTLAND, OR 97213
(503) 215-2392
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO180969
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500723844
—
OR
Enumeration date
06/03/2014
Last updated
10/15/2020
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