Individual provider · Type 1 NPI
Mackenzie Davis, MA, LPC
Professional Counselor · Tigard, OR
NPI number
1700366556
Active
Practice location
13456 SW Hawks Beard St Apt 223
Tigard, OR 97223-1912
Other practice locations
- 6745 SW Hampton St Ste 200, Tigard, OR 97223-8360 · (503) 639-9523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | C10384 (OR) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1700366556
Mackenzie Davis, MA, LPC's National Provider Identifier is 1700366556, issued on Aug 20, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tigard, OR. The record was last updated on Sep 22, 2025.