Individual
DR. JENNA BETH MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1506 NE WILLIAMSON BLVD, BEND, OR 97701-6071
(541) 383-3668
Mailing address
1506 NE WILLIAMSON BLVD, BEND, OR 97701-6071
(541) 383-3668
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
DP214043
ID
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP214043
ID
Other
Enumeration date
04/24/2016
Last updated
01/27/2024
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