Individual
DR. BRAD ALEXANDER MCKENZIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
24540 E. WELCHES RD., WELCHES, OR 97067
(503) 622-3085
(503) 622-3753
Mailing address
PO BOX 293, 324540 E. WELCHES RD., WELCHES, OR 97067-0293
(503) 622-3085
(503) 622-3753
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7819
OR
Other
Enumeration date
07/22/2005
Last updated
07/08/2007
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