MALLORY CHRISTINE MACRAE

KEIZER VISION SOURCE PC

Dr MALLORY CHRISTINE MACRAE is a female medical professional, specializing in Optometry. She graduated in 2011 from Pacific University - College Of Optometry.

Contact

KEIZER VISION SOURCE PC

4350 CHERRY AVE NE
SUITE A
KEIZER
OR
973034855

Tel: 5033936060

MALLORY CHRISTINE MACRAE Information

Npi 1558659326
Pac Id 2567631989
Professional Enrollment Id I20110801000618
Last Name MACRAE
First Name MALLORY
Middle Name CHRISTINE
Suffix
Gender F
Credential
Medical School Name PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 2011
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name KEIZER VISION SOURCE PC
Group Practice Pac Id 0244261014
Number Of Group Practice Members 2
Line 1 Street Address 4350 CHERRY AVE NE
Line 2 Street Address SUITE A
Marker Of Address Line 2 Suppression
City KEIZER
State OR
Zip Code 973034855
Phone Number 5033936060
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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