Organization · Type 2 NPI
Ken Mackie, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Corvallis, OR
NPI number
1780521633
Active
Practice location
2600 NW Century Dr Apt 303
Corvallis, OR 97330-4736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1780521633
Ken Mackie, LLC's National Provider Identifier is 1780521633, issued on Apr 29, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Corvallis, OR. The record was last updated on May 30, 2026.