Raisanen, Mackenzie Jennifer Rose

Raisanen, Mackenzie Jennifer Rose is an individual health care provider with primary practice located at 1607 Beavercreek Rd Ste 100 , Oregon City OR 97045-4291. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Raisanen, Mackenzie Jennifer Rose can be contacted via phone (971) 233-6198.

Contact Information

Primary practice address
1607 Beavercreek Rd Ste 100 Oregon City OR 97045-4291
Phone: (971) 233-6198
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Oregon

Profile Details

NPI number 1548865553
LBN Legal business name Raisanen, Mackenzie Jennifer Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2020
Last updated Nov 30th, 2020 - 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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