Individual
MACKENZIE IRENE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 SE BAKER ST, MCMINNVILLE, OR 97128-6808
(503) 302-3346
Mailing address
190 SW BRUMBACK ST UNIT 2373, MCMINNVILLE, OR 97128-6899
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/10/2019
Last updated
02/10/2019
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