Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962961185 Individual Practitioner Female Practitioner

Dr. Mackenzie Lynne Nesbit Deane , MD

Pediatrics • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Dr. Mackenzie Nesbit Deane, MD is a registered healthcare professional specializing in Pediatrics in Vancouver, WA. Practice services are available at 505 NE 87TH AVE STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

505 Ne 87th Ave Ste 120

Vancouver, WA 986641965

Telephone 3608921635
Fax 3608923146
Associated Practice Facility / Clinic
🏢 Evergreen Pediatric Clinic Ps Facility NPI 1144343773

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.6 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
72 Specialists

Practicing in Vancouver, WA (1802 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD61428941

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

3181 Sw Sam Jackson Road

Portland, OR 97239

Phone: 5034948211

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Dr. Aidan Derenne , MD

Pediatrics - Adolescent Medicine

NPI 1003886805

Doctor of Medicine (M.D.)

Dr. Charles Fuchs , MD

Pediatrics - Adolescent Medicine

NPI 1013987981

Doctor of Medicine (M.D.)

Dr. Katherine Holland , MD

Pediatrics - Adolescent Medicine

NPI 1063654069

Doctor of Medicine (M.D.)

Dr. Jennifer Soden , MD

Pediatrics - Adolescent Medicine

NPI 1073583878

Doctor of Medicine (M.D.)

Dr. Sharon Bucher , MD

Pediatrics - Adolescent Medicine

NPI 1164492435

Doctor of Medicine (M.D.)

Dr. Charles Rapp , MD

Pediatrics - Adolescent Medicine

NPI 1194795989

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location February 17, 2026

Registered at 505 NE 87TH AVE STE 120, VANCOUVER, WA 986641965 (Tel: 3608921635)

📍
Updated Business Mailing Address February 17, 2026

Registered at 505 NE 87TH AVE STE 120, VANCOUVER, WA 986641965 (Tel: 3608921635)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2026

Pediatrics (License #MD61428941 in WA)

👤
Provider Name / Credentials Updated May 31, 2022

Recorded as MACKENZIE NESBIT DEANE, MD

NPI Profile Active March 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2019

Registered at 3181 SW SAM JACKSON ROAD, PORTLAND, OR 97239 (Tel: 5034948211)

📍
Updated Business Mailing Address March 18, 2019

Registered at 3181 SW SAM JACKSON ROAD, PORTLAND, OR 97239 (Tel: 5034948211)

👤
Provider Name / Credentials Updated March 18, 2019

Recorded as MACKENZIE DEANE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 18, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962961185
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2019
Last Update: February 17, 2026
Sole Proprietor: No

Mailing Address

505 Ne 87th Ave Ste 120

Vancouver, WA 986641965

Phone: 3608921635

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.