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

MS. MACKENZIE E DOUGLAS, D.M.D.

Active Sole Proprietor

MS. MACKENZIE E DOUGLAS, D.M.D. is a General Dentistry healthcare provider located in PORTLAND, Oregon. NPI 1639192693 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PORTLAND, OR

Registration Details

NPI Number
1639192693
Provider Type
Individual
Gender
Female
NPI Issued
Jul 25, 2006 (20.031544269445 yrs)
Last Updated
Jan 21, 2021
License
D8647 (OR)
Sole Proprietor
Yes

Practice Information

Address
7615 SW CAPITOL HWY
PORTLAND, OR, 972192436
Browse OR providers · Browse ZIP 97219
Phone
5032443712
Fax
5032442122
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in PORTLAND, OR

Name Credential NPI
DR. JEFFERY C. SPATHAS D.M.D. 1306849393
PROF. REBECCA K MORISSE DMD 1306841721
DR. RICKLAND GENE ASAI DMD 1922003292
DR. JONATHAN VINCENT ROXAS DDS 1710982830
DR. JONNA ELIZABETH HONGO DMD 1932104825
DR. JOHN ARTHUR MCCOMB D.M.D. 1437154465
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.