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Mckenzie Smith
Psychiatric/Mental Health Nurse Practitioner in Winston, Oregon
NPI 1932551165

Mckenzie Smith is a Psychiatric/Mental Health Nurse Practitioner based in Winston, OR and is specialized in Psychiatric/Mental Health. Mckenzie Smith practices in Winston, OR. The NPI Number for Mckenzie Smith is 1932551165 and holds a License No. 202002098NP-PP (Oregon).

The current practice location address for Mckenzie Smith is 11 Sw Brantley Dr, Winston, OR and can be reached out via phone at 541-679-0366 and via fax at 541-679-4821.

Location: 11 Sw Brantley Dr, Winston, OR, 97496-4526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932551165
Provider Name
Mckenzie Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
11 Sw Brantley Dr, Winston, OR, 97496-4526
Phone Number
541-679-0366
Fax Number
541-679-4821
Provider Enumeration Date
07/12/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932551165 01 OR PMHNP
institution
Provider Business Practice Location Address Details
Address
11 Sw Brantley Dr
City
Winston
State
Oregon
Zip
97496-4526
Phone Number
541-679-0366
Fax Number
541-679-4821
person
Provider Business Mailing Address Details
Address
11 Sw Brantley Dr
City
Winston
State
Oregon
Zip
97496-4526
Phone Number
541-679-0366
Fax Number
541-679-4821
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
202002098NP-PP (Oregon)
Definition
Definition to come...
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