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Mallory Macrae, O.D
NPI 1558659326 · on the registry since 2011
Practice
- Address
- 4350 Cherry Ave Ne
Keizer, OR 97303 - Phone
- (503) 393-6060
- Fax
- (503) 393-5096
- Organisation at this address
- Keizer Vision Source Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-08-19
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