Individual provider · Type 1 NPI

Mackenzie Schack

Specialist · Portland, OR

NPI number 1760805451 Active

Practice location

3320 SE Holgate Blvd
Portland, OR 97202-3459

Call (503) 231-1411 Map

Fax (503) 239-1170

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X296675 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1760805451

Mackenzie Schack's National Provider Identifier is 1760805451, issued on Jan 30, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Jan 30, 2014.