Hull, Mckenzie

Hull, Mckenzie is an sole proprietor health care provider with primary practice located at 19250 Sw 65Th Ave Ste 125 , Tualatin OR 97062. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Hull, Mckenzie can be contacted via phone (503) 413-4505.

Contact Information

Primary practice address
19250 Sw 65Th Ave Ste 125 Tualatin OR 97062
Phone: (503) 413-4505
Fax: (503) 413-4719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056011253 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 349715 Oregon

Profile Details

NPI number 1669844171
LBN Legal business name Hull, Mckenzie
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2015
Last updated Apr 2nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669844171 NPPES
Oregon MEDICAID 500760019

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