Individual
LUE ANN MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLS
Contact information
Practice address
5440 NE SANDYCREST TER APT 4, PORTLAND, OR 97213-2651
(514) 870-0939
Mailing address
5440 NE SANDYCREST TER APT 4, PORTLAND, OR 97213-2651
(514) 870-0939
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
258548
OR
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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