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Contact Information

JOHN D MACKENZIE, MD
19020 33RD AVE W STE 210
LYNNWOOD, WA98036
 Phone: 425-563-1500
 Fax: 425-563-1501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Radiology

2085P0229X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JOHN D MACKENZIE · (Male)

NPI Number 1437356268
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2007
Last updated 08/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A99500
  • WA License # MD60942783
  • WA Medicaid 1091767
  • WA Other 0408813 L&I-EVERGREEN RADIA
  • WA Other 0408811 L&I-RADIA KING COUNTY
  • WA Other 0408810 L&I-RADIA REST OF WA
  • WA Other 0408817 L&I-SEATTLE RADIOLOGY
  • WA Other 0408816 L&I-SOUTH SOUND RADIOLOGY
  • WA Other 0408812 L&I-SWEDISH RADIA EDMONDS
Hospital affiliation(s)
  • EVERGREEN HOSPITAL MEDICAL CENTER - (Acute Care)
    12040 NE 128TH STREET
    KIRKLAND, WA 98034
  • PEACEHEALTH SOUTHWEST MEDICAL CENTER - (Acute Care)
    400 NE MOTHER JOSEPH PLACE
    VANCOUVER, WA 98668
  • PROVIDENCE REGIONAL MEDICAL CENTER EVERETT - (Acute Care)
    1321 COLBY AVENUE
    EVERETT, WA 98201
  • PROVIDENCE ST PETER HOSPITAL - (Acute Care)
    413 LILLY ROAD NE
    OLYMPIA, WA 98506
  • SWEDISH MEDICAL CENTER - (Acute Care)
    747 BROADWAY
    SEATTLE, WA 98122
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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