Mackett, Milton C

Mackett, Milton C is an individual health care provider with primary practice located at 10000 Se Main St Suite 316, Portland OR 97216-2448. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mackett, Milton C can be contacted via phone (503) 256-1575.

Contact Information

Primary practice address
10000 Se Main St Suite 316 Portland OR 97216-2448
Phone: (503) 256-1575
Fax: (503) 253-9848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD18652 Oregon
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD18652 Oregon
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD18652 Oregon

Profile Details

NPI number 1063473452
LBN Legal business name Mackett, Milton C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jan 25th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063473452 NPPES
Oregon MEDICAID 127220

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