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Organization

NANCY A. MACY, WHCNP, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NANCY A MACY WHCNP (OWNER)
(503) 476-8900
Entity
Organization

Contact information

Practice address
308 VILLA RD, 115, NEWBERG, OR 97132-1881
(503) 476-8900
Mailing address
901 BRUTSCHER ST, D-378, NEWBERG, OR 97132-6096
(503) 476-8900

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276365
OR
Enumeration date
05/04/2012
Last updated
05/04/2012
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