Nesbit Deane, Mackenzie Lynne

Nesbit Deane, Mackenzie Lynne is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Road , Portland OR 97239. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Nesbit Deane, Mackenzie Lynne can be contacted via phone (503) 494-8211.

Contact Information

Primary practice address
3181 Sw Sam Jackson Road Portland OR 97239
Phone: (503) 494-8211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD209033 Oregon

Profile Details

NPI number 1962961185
LBN Legal business name Nesbit Deane, Mackenzie Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2019
Last updated May 31st, 2022 - about 3 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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