Mackenzie E Douglas in Portland - General Practice
Mackenzie E Douglas - NPI 1639192693
Mackenzie E Douglas is a General Practice in Portland, Oregon. Mackenzie E Douglas practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mackenzie E Douglas is 1639192693. The last update date is 2021-01-21.
Mackenzie E Douglas's current location address is 7615 Sw Capitol Hwy, Portland, Oregon. You can contact this provider via phone number 5032443712 and fax number 5032442122. The mailing address for Mackenzie E Douglas is 7615 Sw Capitol Hwy, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mackenzie E Douglas |
|---|---|
| Address | 7615 Sw Capitol Hwy, Portland, Oregon |
| Phone Number | 5032443712 |
| Fax Number | 5032442122 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1639192693 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2021-01-21 |
Provider Mailing Address Detail
| Address | 7615 Sw Capitol Hwy |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972192436 |
| Phone Number | 5032443712 |
| Fax Number | 5032442122 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D8647 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Mackenzie E Douglas by the Centers for Medicare & Medicaid Services (CMS)?
The Mackenzie E Douglas has been assigned the NPI (National Provider Identifier) 1639192693. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mackenzie E Douglas's facilities are situated?
The facilities of Mackenzie E Douglas are physically located at the following address: 7615 Sw Capitol Hwy, Portland, OR, 972192436.
What is Mackenzie E Douglas's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mackenzie E Douglas's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did Mackenzie E Douglas receive its 1639192693 assignment from the Centers for Medicare & Medicaid Services?
The Mackenzie E Douglas was assigned its 1639192693 on 2006-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mackenzie E Douglas most recently updated or revised?
The details related to Mackenzie E Douglas, including its address, specialty, and other relevant information, were last updated or revised on 2021-01-21.