Individual provider · Type 1 NPI

Mackenzie Youngren

Mental Health Counselor · Portland, OR

NPI number 1073201604 Active

Practice location

12511SE Raymond Street
Portland, OR 97236

Call (503) 761-2580 Map

Fax (503) 761-2584

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPROFESSIONALLICENSE

Mental Health Counselor: Definition to come...

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About NPI 1073201604

Mackenzie Youngren's National Provider Identifier is 1073201604, issued on May 1, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 28, 2026.