ANNIE MACK, MD

Pediatrics

Active Individual
NPI: 1932125184

Practice Address

9555 SW BARNES RD STE 255
Portland, OR 97225

Phone: (503) 908-1590

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X No MD27041 (OR)
Pediatrics 208000000X Yes MD27041 (OR)

Frequently Asked Questions

NPI 1932125184 is the National Provider Identifier for ANNIE MACK, MD, a Pediatrics provider located in Portland, OR. This NPI was enumerated on July 14, 2006.
ANNIE MACK, MD practices at 9555 SW BARNES RD STE 255, Portland, OR 97225.

Quick Facts

NPI
1932125184
Type
Individual
Enumerated
Jul 14, 2006
Last Updated
Apr 3, 2024

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