Individual provider · Type 1 NPI

Michelle Mackenzie

Peer Specialist · Medford, OR

NPI number 1700459054 Active

Practice location

140 S Holly St
Medford, OR 97501-3113

Call (541) 774-8200 Map

Mailing address

1510 Gravenstein Way
Medford, OR 97501-3338

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1700459054

Michelle Mackenzie's National Provider Identifier is 1700459054, issued on Jul 22, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Medford, OR. The record was last updated on Jul 22, 2021.