Individual
MS. SANDRA LOUISE MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
500 NE MULTNOMAH ST, SUITE 100, PORTLAND, OR 97232-2023
(503) 813-2000
Mailing address
2211 SW 1ST AVE, UNIT 1301, PORTLAND, OR 97201-5060
(503) 421-9325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA155388
OR
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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