Search › Oregon › 363AS0400X
Mackenzie Mccrorey, PA-C
NPI 1023271632 · on the registry since 2008 · sole proprietor
Practice
- Address
- 10000 Se Main St Ste 365
Portland, OR 97216 - Phone
- (503) 261-4430
- Fax
- (503) 261-4436
- Organisation at this address
- Jmsp Llc
Mpkm, Llc
Bret Gene Ball Llc
Professionl Pharmacy
Kyle Valentine Dmd PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 114
Additional practice sites
- 1503 S State St Apt 508, Chicago, IL
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
363AS0400X - Licence states on file
- IL, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon