NPI 1003445636

Mackenzie Jean Eikamp, PAC

Practitioner Medical Physician Assistant Portland, OR

Practice location

Address: 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011
Phone: (503) 494-1620
Fax: (503) 494-6670

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA221505 (OR)

Other Physician Assistant providers in Oregon →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0010-09843 (NC)

Registry record

NPI: 1003445636
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2020
Record last updated: 18 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.