Organization · Type 2 NPI

Mackie Enterprises LLC

Mental Health Counselor · Portland, OR

NPI number 1700396793 Active

Practice location

1134 NE 70th Ave
Portland, OR 97213-5420

Call (971) 207-5010 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X07-09-29 (OR)
Mental Health Counselor Primary 101YM0800XC2538 (OR)

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About NPI 1700396793

Mackie Enterprises LLC's National Provider Identifier is 1700396793, issued on Oct 4, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 8, 2022.