Individual
BRAD R. MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 POTTERY AVE, GROUP HEALTH, PORT ORCHARD, WA 98366-3711
(360) 895-5000
(360) 895-5558
Mailing address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3711
(360) 895-5000
(360) 895-5558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60111450
WA
Other
Enumeration date
06/26/2009
Last updated
04/27/2021
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