Individual
SHAWN MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 NE HOYT ST STE 610, PORTLAND, OR 97213-2985
(503) 467-4761
Mailing address
403 - 223 NELSON'S CRESENT, BURNABY, BRITISH COLUMBIA V3L0E-4
(604) 970-1096
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
41830
ZZ
208600000X
Surgery Physician
60316843
WA
208600000X
Surgery Physician
Primary
MD160290
OR
2086X0206X
Surgical Oncology Physician
MD160290
OR
Other
Enumeration date
08/15/2007
Last updated
05/29/2025
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