Mark Mckenzie, OD

NPI #1164783718 in Mcminnville, Oregon

Provider Information

NPI Number: 1164783718
Entity Type: Individual
Name: Mark Mckenzie, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 30, 2012
Last Updated: Jun 2, 2014

Practice Location

Address: 2375 NE HIGHWAY 99W
City: Mcminnville
State: Oregon
ZIP Code: 97128-9201
Phone: (503) 434-1183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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