Organization
MCKENZIE FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY SANDERS (MANAGER)
(541) 344-8225
Entity
Organization
Contact information
Practice address
1755 COBURG RD STE 3, EUGENE, OR 97401-4984
(541) 344-8225
(541) 744-7322
Mailing address
1755 COBURG RD STE 3, EUGENE, OR 97401-4984
(541) 344-8225
(541) 744-7322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151025
—
OR
01
—
38DO857081
CLIA
OR
Enumeration date
11/07/2006
Last updated
06/17/2011
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