Dr. Nicole Marie McKay, D.M.D
Dentist in Portland, OR. Individual provider (NPI-1).
NPI number1033404751
StatusActive
Last updated in NPPESMay 22, 2015
Details
- NPI
- 1033404751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole Marie McKay
- Credential
- D.M.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2011
- Last updated
- May 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D9939 | OR | Yes |
Practice location
4104 Se 82nd AveSuite 450
Portland, OR 97266-2954
Phone 503-771-4324 · Fax 503-771-4458
Mailing address
6950 Ne Campus WayHillsboro, OR 97124-5611
Phone 775-720-9324
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