Individual
MS. HEATHER MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. M.A.
Contact information
Practice address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-3900
Mailing address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-3900
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/02/2013
Last updated
06/02/2013
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