institution
Mackie Enterprises Llc
Mental Health Counselor in Portland, Oregon
NPI 1700396793

Mackie Enterprises Llc is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Mackie Enterprises Llc practices in Portland, OR. The NPI Number for Mackie Enterprises Llc is 1700396793 and holds a License No. 07-09-29 (Oregon).

The current practice location address for Mackie Enterprises Llc is 1134 Ne 70Th Ave, Portland, OR and can be reached out via phone at 971-207-5010.

Location: 1134 Ne 70Th Ave, Portland, OR, 97213-5420
institution
Provider Profile Details
NPI Number
1700396793
Provider Name
Mackie Enterprises Llc
Credential
Provider Entity Type
Organization
Address
1134 Ne 70Th Ave, Portland, OR, 97213-5420
Phone Number
971-207-5010
Fax Number
Provider Enumeration Date
10/04/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164936 05 OR
institution
Provider Business Practice Location Address Details
Address
1134 Ne 70Th Ave
City
State
Zip
97213-5420
Phone Number
971-207-5010
Fax Number
person
Provider Business Mailing Address Details
Address
1134 Ne 70Th Ave
City
State
Zip
97213-5420
Phone Number
971-207-5010
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C2538 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
07-09-29 (Oregon)
Definition
Definition to come...
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