MACKENZIE SCHACK (NPI# 1760805451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760805451 |
| Entity Type | Individual |
| Full Name | MACKENZIE SCHACK |
| Practice Address |
3320 Se Holgate Blvd Portland OR 97202-3459 |
| Practice Telephone | 5032311411 |
| Practice Fax Number | 5032391170 |
| Mailing Telephone | 5032311411 |
| Mailing Fax Number | 5032391170 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 296675 | OR | Other Service Providers |
| Street Address |
3320 SE HOLGATE BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558427955 | Friendship Health Center | Skilled Nursing Facility | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2006-12-29 |
| 1629627997 | Ben Carlstrom | Speech-Language Pathologist | 3320 Se Holgate Blvd, Portland, OR 97202 | 2019-09-09 |
| 1821578493 | Victoria Loudermilk | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2018-08-14 |
| 1417452210 | Tasha Louise Danner | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2018-03-26 |
| 1215389135 | Clayton Ross Rickett | Occupational Therapist | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2016-07-02 |
| 1346699113 | Heather Boisjolie | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2016-06-12 |
| 1114304235 | Marisa Steinkamp | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2015-04-27 |
| 1871917310 | Tracy Flynn | Technician | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2014-02-04 |
| 1306269113 | Elissa Andresen | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2014-01-29 |
| 1649502832 | Stephanie Jane Grosul | Occupational Therapist | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2010-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536560 | Irina A Mcgaughey | Specialist | 610 Sw Alder St Ste 920, Portland, OR 97205-3610 | 2020-10-19 |
| 1780294181 | Cynthia R Mendoza | Specialist | 2245 Se Powell Blvd, Portland, OR 97202-2143 | 2020-07-31 |
| 1679199335 | Alter Image, Inc. | Specialist | 2340 Se Gladstone St, Portland, OR 97202-2962 | 2020-06-18 |
| 1770044281 | Donnissa Smith | Specialist | 117 Se 129th Ave, Portland, OR 97233-1503 | 2019-03-27 |
| 1588191258 | Jason Moore | Specialist | 522 Ne Thompson St, Portland, OR 97212-3843 | 2017-05-12 |
| 1578097218 | Alicia N Keys | Specialist | 10480 Sw Eastridge St Apt 88, Portland, OR 97225-5047 | 2017-04-19 |
| 1942734736 | Mom By Lj | Specialist | 2906 N Willamette Blvd, Portland, OR 97217-4073 | 2017-04-18 |
| 1659811198 | Ricardo H. Medina | Specialist | 1400 Nw Irving St Apt 709, Portland, OR 97209-2260 | 2017-03-02 |
| 1730626805 | Jennifer Frank | Specialist | 1008 Se 112th Ave, Portland, OR 97216-3516 | 2017-01-26 |
| 1720523012 | Andrea Lett | Specialist | 4627 Ne 30th Ave, Portland, OR 97211-7001 | 2016-12-22 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.