Most Relevant Information
Provider Data
| NPI Number: | 1003531666 |
| Provider Name: | MACKENZIE MARGARET CLARK ND |
| Entity Type: | Individual |
| Taxonomy Code: | 175F00000X |
| Specialty: | Naturopath |
| License Number: | 4477 |
Most Important Dates
| Enumeration Date: | 10/06/2022 |
| Last Updated: | 08/15/2023 |
Provider Practice Location
470 6TH ST STE C
LAKE OSWEGO
OR
97034
Practice Location Phone/Fax
| Phone: | 5035059806 |
| Fax: | 5035059807 |
Provider Mailing Location
470 6TH ST STE C
LAKE OSWEGO
OR
970342920
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |