Root, Mackenzie
Root, Mackenzie is an individual health care provider with primary practice located at 3303 Sw Bond Ave , Portland OR 97239-4501. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, which is considered as her primary health care specialty. Root, Mackenzie can be contacted via phone (503) 494-3151.Contact Information
Primary practice address
3303 Sw Bond Ave
Portland OR 97239-4501
Phone: (503) 494-3151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology | 2251N0400X | 63285 | Oregon |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology | 2251N0400X | 033107 | New York |
Profile Details
| NPI number | 1992334924 |
|---|---|
| LBN Legal business name | Root, Mackenzie |
| Credentials | PT, DPT, NCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2020 |
| Last updated | Apr 2nd, 2020 - about 4 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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