Individual
PATRICK DANDIEL MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1919 NW LOVEJOY ST, PORTLAND, OR 97209-1503
(971) 678-0410
Mailing address
1915 NE 76TH AVE, PORTLAND, OR 97213-6017
(971) 678-0410
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202215288NP-PP
OR
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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