Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSAN KATHERINE MACKINNON M.D.
NPI 1104806140
Internal Medicine in Medford, OR

Q: What is Susan Mackinnon's NPI number?

The NPI number for Susan Mackinnon is 1104806140. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Q: What is Susan Mackinnon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Mackinnon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 17, 2006

19 MYRTLE ST, MEDFORD, OR 97504(541) 773-3863(541) 618-4413 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan Katherine Mackinnon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN KATHERINE MACKINNON M.D. (NPI 1104806140) is an individual internal medicine provider in Medford, Oregon, licensed in Oregon (MD14978) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1104806140

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUSAN KATHERINE MACKINNONCredential: M.D.

Location Address19 MYRTLE STMedford, OR 97504-7337

Mailing Address19 Myrtle StMedford, OR 97504-7337 · (541) 773-3863 · Fax (541) 618-4413

Phone(541) 773-3863

Fax(541) 618-4413

Sole ProprietorNo

Enumeration DateJanuary 17, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1104806140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OR · MD14978

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

19 MYRTLE ST, Medford, OR 97504

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA CORTEZ CPHT

Interpreter