Individual
KELSEY ALENE MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
4310 N MARYLAND AVE APT 5, PORTLAND, OR 97217-3269
(503) 957-8446
Mailing address
4310 N MARYLAND AVE APT 5, PORTLAND, OR 97217-3269
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-309894
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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