person
Mackenzie Eileen Callis, APRN,PMHNP
Psychiatric/Mental Health Nurse Practitioner in Tualatin, Oregon
NPI 1134895642

Mackenzie Eileen Callis is a Psychiatric/Mental Health Nurse Practitioner based in Homer, OR and is specialized in Psychiatric/Mental Health. Mackenzie Eileen Callis practices in Tualatin, OR and has the professional credentials of APRN,PMHNP. The NPI Number for Mackenzie Eileen Callis is 1134895642 and holds a License No. 180541 (Oregon).

The current practice location address for Mackenzie Eileen Callis is 18650 Sw Boones Ferry Rd Ste 3, Tualatin, OR and can be reached out via phone at 503-351-5858.

Location: 18650 Sw Boones Ferry Rd Ste 3, Tualatin, OR, 99603-2214
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Provider Profile Details
NPI Number
1134895642
Provider Name
Mackenzie Eileen Callis
Credential
APRN,PMHNP
Provider Entity Type
Individual
Gender
Female
Address
18650 Sw Boones Ferry Rd Ste 3, Tualatin, OR, 99603-2214
Phone Number
503-351-5858
Fax Number
Provider Enumeration Date
08/17/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1724666 05 AK
institution
Provider Business Practice Location Address Details
Address
18650 Sw Boones Ferry Rd Ste 3
City
State
Zip
97062-8491
Phone Number
503-351-5858
Fax Number
person
Provider Business Mailing Address Details
Address
18650 Sw Boones Ferry Rd Ste 3
City
State
Zip
97062-8491
Phone Number
503-351-5858
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
180541 (Alaska)
Definition
Definition to come...
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