Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MCKENZIE VILLANUEVA
Active Sole ProprietorMCKENZIE VILLANUEVA is a Contractor healthcare provider located in MEDFORD, Oregon. NPI 1124645163 is currently active in the NPPES registry. Verify at CMS.
Contractor · MEDFORD, OR
Registration Details
- NPI Number
- 1124645163
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2020 (6.1500443116913 yrs)
- Last Updated
- Jun 25, 2020
- License
-
BAP-TA-10200933
- Sole Proprietor
- Yes
Practice Information
- Address
-
18 MYRTLE STMEDFORD, OR, 975047338Browse OR providers · Browse ZIP 97504
- Phone
- 5413010522
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| KATHERINE YOUNG | LMT | 1902227416 |
| LAWRENCE HARLIN SUCKSTORFF | — | 1922959642 |
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.