Individual provider · Type 1 NPI

Mackenna Luttrell, LMP

Specialist · Vancouver, WA

NPI number 1396153540 Active

Practice location

13025 NE Fourth Plain Blvd, Suite 102
Vancouver, WA 98682

Call (360) 718-8240 Map

Fax (360) 718-8241

Mailing address

956 14th St
Washougal, WA 98671

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA60486817 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3 other providers at this address

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About NPI 1396153540

Mackenna Luttrell, LMP's National Provider Identifier is 1396153540, issued on Jul 31, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 31, 2014.