Individual
MARY SUZANNE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19250 SW 65TH AVE STE 137, TUALATIN, OR 97062-7745
(503) 413-6499
Mailing address
19250 SW 65TH AVE STE 137, TUALATIN, OR 97062-7745
(503) 413-6499
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
166587
OR
207RP1001X
Pulmonary Disease Physician
Primary
166587
OR
Other
Enumeration date
05/20/2008
Last updated
08/14/2014
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