-- MILTON C MACKETT -- M.D.
Individual Provider (NPI-1)
Active
Surgery
Provider Information
- NPI Number
1063473452- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 10000 SE MAIN ST SUITE 316, PORTLAND, OR, 972162448
- Phone
- (503) 256-1575
- Fax
- (503) 253-9848
Specialties & Taxonomies
Surgery
Primary License: OR #MD18652
Unknown
License: OR #MD18652
Colon & Rectal Surgery
License: OR #MD18652