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Contact Information

BRAD A MCKENZIE
24540 E. WELCHES RD.
WELCHES, OR97067
 Phone: 503-622-3085
 Fax: 503-622-3753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BRAD A MCKENZIE · (Male)

NPI Number 1285634097
Status Active
Credentials
Entity Individual
Enumeration date 07/22/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # D7819
Hospital affiliation(s) Not Available
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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