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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MACKENZIE ANNE MCCROREY, PA-C

Active Sole Proprietor

MACKENZIE ANNE MCCROREY, PA-C is a Surgical Physician Assistant healthcare provider located in PORTLAND, Oregon. NPI 1023271632 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · PORTLAND, OR

Registration Details

NPI Number
1023271632
Provider Type
Individual
Gender
Female
NPI Issued
Jul 3, 2008 (18.113343569697 yrs)
Last Updated
Jan 10, 2023
Licenses
085003524 (IL)
085003524 (IL)
PA195380 (OR)
Sole Proprietor
Yes

Practice Information

Address
10000 SE MAIN ST STE 365
PORTLAND, OR, 972162474
Browse OR providers · Browse ZIP 97216
Phone
5032614430
Fax
5032614436
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in PORTLAND, OR

Name Credential NPI
JENNIFER HOPE CHRISTIANSEN P.A. 1851394878
CAROLINE MAY-SAN FUNG P.A. 1558364489
MRS. PAULA DEANNE DIETSCH KUIPER PA-C 1508869157
CAROLYN ANNE FRANCIS PA-C 1790780401
CYNTHIA ANN BOHAN PAC 1992797039
KRISTINE JOST WINDOM PAC 1841282357
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.