MARY SUZANNE MCKENZIE (NPI# 1447417100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447417100 |
| Entity Type | Individual |
| Full Name | MARY SUZANNE MCKENZIE |
| Credential | MD |
| Practice Address |
19250 Sw 65th Ave Ste 137 Tualatin OR 97062-7745 |
| Practice Telephone | 5034136499 |
| Mailing Telephone | 5034136499 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
166587 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
166587 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851839377 | Mary Mckenzie | Counselor | 3000 S College Ave Unit 202, Fort Collins, CO 80525-2558 | 2017-02-03 |
| 1730436577 | Mary Dean Mckenzie | Licensed Practical Nurse | 760 Park Ave, 12g, Brooklyn, NY 11206-5255 | 2012-08-11 |
| 1265703821 | Mary E Mckenzie | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2012-01-13 |
| 1851576623 | Mary Eileen Mckenzie | Registered Nurse | 529 I Street, Eureka, CA 95501-1116 | 2007-12-29 |
| 1447458435 | Mary Lawley Mckenzie | Family Medicine | 320 East Main Street, Suite 200, Chattanooga, TN 37408 | 2007-07-11 |
| 1578607701 | Mary Margaret Mckenzie | Social Worker | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2007-02-19 |
| 1013012509 | Mary Mckenzie | Nurse Practitioner | 2021 W Loop 281, Longview, TX 75604-2504 | 2006-09-13 |
| Street Address |
19250 SW 65TH AVE STE 137 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-7745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720191273 | John Alan Butler | Internal Medicine | 19250 Sw 65th Ave, Suite 135, Tualatin, OR 97062-7452 | 2006-08-17 |
| 1922043801 | Marilyn L Rudin | Internal Medicine | 19250 Sw 65th Ave, Suite 135, Tualatin, OR 97062-7452 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073073250 | Good Samaritan Hospital Corvallis | Internal Medicine | 3640 Nw Samaritan Dr Ste 100c, Corvallis, OR 97330-3784 | 2019-03-22 |
| 1730672411 | Lawrence Edward Permen | Internal Medicine | 25139 Allure Ave, Veneta, OR 97487-8713 | 2018-06-07 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| 1750648432 | Robert Dreisin | Internal Medicine | 6350 Sw Burlingame Ave, Portland, OR 97239-2635 | 2012-04-18 |
| 1982984142 | Frank Nelson Turner | Internal Medicine | 2260 Marcola Rd, Springfield, OR 97477-2594 | 2011-08-19 |
| 1619209756 | Ana Maria Ponea | Internal Medicine | 364 Se 8th Ave Ste 301a, Hillsboro, OR 97123-5273 | 2010-01-30 |
| 1962645549 | Elham Karamooz | Internal Medicine | Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2009-04-13 |
| 1912149790 | Samuel R. Glickman | Internal Medicine | 25050 Se Stark Street, Legacy Mt Hood Multispecialty Clinic, Gresham, OR 97030 | 2009-03-25 |
| 1831368554 | Ohsu Medical Group | Internal Medicine | 2115 Sw River Pkwy, Portland, OR 97201-8024 | 2008-02-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.