Mackenzie, Alexandra M

Mackenzie, Alexandra M is an individual health care provider with primary practice located at 2330 Nw Flanders St Ste G-1, Portland OR 97210-3442. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Mackenzie, Alexandra M can be contacted via phone (503) 224-9270.

Contact Information

Primary practice address
2330 Nw Flanders St Ste G-1 Portland OR 97210-3442
Phone: (503) 224-9270
Fax: (503) 224-9271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT00003472 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 1003686 Oregon

Profile Details

NPI number 1821073925
LBN Legal business name Mackenzie, Alexandra M
Credentials OTR/L, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Apr 16th, 2021 - about 3 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 1821073925 NPPES
Oregon Other 098565021 BCBS OF OR
Oregon Other 173552 BCBS OF OR
Oregon MEDICAID 227463 BCBS OF OR
Oregon MEDICAID 8419962 BCBS OF OR

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