Individual
MACKENZIE GRAHAM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1168
(503) 413-7361
Mailing address
2525 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 882-2778
(360) 604-1725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP61577329
WA
Other
Enumeration date
03/22/2022
Last updated
06/20/2025
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