Individual
KIRSTIE MACMILLEN LECHICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5750
(503) 418-5793
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5750
(503) 418-5793
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
54474
CA
363AM0700X
Medical Physician Assistant
Primary
PA212437
OR
Other
Enumeration date
05/31/2017
Last updated
09/14/2022
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