Mackinnon, Susan Katherine
Mackinnon, Susan Katherine is an individual health care provider with primary practice located at 19 Myrtle St , Medford OR 97504-7337. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mackinnon, Susan Katherine can be contacted via phone (541) 773-3863.Contact Information
Primary practice address
19 Myrtle St
Medford OR 97504-7337
Phone: (541) 773-3863
Fax: (541) 618-4413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD14978 | Oregon |
Profile Details
| NPI number | 1104806140 |
|---|---|
| LBN Legal business name | Mackinnon, Susan Katherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Jul 13th, 2026 - about 3 months 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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