Individual provider · Type 1 NPI
Mackinlie Maynard, RN
College Health Registered Nurse · Portland, OR
NPI number
1679308126
Active
Practice location
615 S Palatine Hill Rd
Portland, OR 97219-8091
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| College Health Registered Nurse Primary | 163WC1400X | 202103350RN (OR) |
College Health Registered Nurse: Definition to come...
3 other providers at this address
About NPI 1679308126
Mackinlie Maynard, RN's National Provider Identifier is 1679308126, issued on Sep 4, 2024. The primary taxonomy on file is College Health Registered Nurse (163WC1400X), and the practice location is in Portland, OR. The record was last updated on Sep 4, 2024.