Individual
MACKENZIE KAY LAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2435 NE CUMULUS AVE, MCMINNVILLE, OR 97128-8805
(503) 472-6161
Mailing address
2435 NE CUMULUS AVE, MCMINNVILLE, OR 97128-8805
(503) 472-6161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA174877
OR
Other
Enumeration date
11/05/2015
Last updated
03/19/2021
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