Individual
SAMANTHA ALISON MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17550 PROVOST ST STE 201, LAKE OSWEGO, OR 97034-5221
(503) 872-2440
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD151730
OR
208D00000X
General Practice Physician
TRN10886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500625457
—
OR
Enumeration date
08/09/2007
Last updated
05/06/2024
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