MACKENZIE ROOT


Address: 3303 Sw Bond Ave, Portland, OR 97239-4501
Phone: 5034943151

MACKENZIE ROOT (NPI# 1992334924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992334924
Entity Type Individual
Full Name MACKENZIE ROOT
Credential PT, DPT, NCS
Practice Address 3303 Sw Bond Ave
Portland
OR 97239-4501
Mailing Address 3538 Ne 44th Ave
Portland
OR 97213-1018
Practice Telephone 5034943151
Mailing Telephone 5413900199
Enumeration Date 2020-04-02
Last Update Date 2020-04-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2251N0400X Physical Therapist
Specialization: Neurology
033107 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2251N0400X Physical Therapist
Specialization: Neurology
63285 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3303 SW BOND AVE
City PORTLAND
State OR
Zip Code 97239-4501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639174287 Dawn F. Tilgner Nurse Practitioner 3303 Sw Bond Ave, Portland, OR 97239-4501 2005-06-19
1376164582 Marisa Palandri Occupational Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-28
1194345629 Margaret Alva Mcreynolds Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-24
1104446392 Jennifer Crawford Occupational Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-17
1093335275 Mehak Noorani Speech-Language Pathologist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-17
1497374185 Ruth Semon Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-13
1649899675 Kristin Moore Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-09
1821627266 Mollie Ann Suits Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-07
1801425269 Andrea Susan Serdar Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-06
1508495037 Chante Noel Larlee Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1285266205 Melissa Irene Wheeler Registered Nurse Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2020-02-07
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1801448063 Alice Huang Huang Student in an Organized Health Care Education/Training Program 3710 Sw Veterans Road, Portland, OR 97239 2019-07-09
1710446273 Ellen Noreen Kessi Social Worker 3710 Sw Us Veterans Rd., Portland, OR 97239 2019-03-14
1508335704 Jacqueline Marie Mular Marriage & Family Therapist 5550 Sw Macadam Suite 100, Portland, OR 97239 2018-11-16
1275030926 Carly Elizabeth Dougher Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 2018-04-10
1780188094 Dennis John Samuel Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2018-03-21
Find all providers in zip 97239

Taxonomy Information

Taxonomy Code 2251N0400X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Neurology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801425269 Andrea Susan Serdar Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-06
1396374328 Jeffrey Schlimgen Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-02
1982241931 Marissa Lyon Physical Therapist 1274 Congress St Fl 3, Portland, ME 04102-2111 2019-12-09
1578041661 Jaime Musgrave Physical Therapist 9135 Sw Barnes Rd, Ste 361, Portland, OR 97225-9720 2018-08-01
1629420534 Courtney Lewis Physical Therapist 507 Ne 47th Ave, Portland, OR 97213-2236 2016-07-05
1205267754 Carly Lochala Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2013-12-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073667218 Oregon Neurosport Physical Therapy Physical Therapist 680 Ivy St, Junction City, OR 97448-1636 2007-01-23
1730718768 Marvin C Smith Physical Therapist 15700 Sw Greystone Ct, Beaverton, OR 97006-6011 2020-04-02
1366921652 Carolyn A Piatt Physical Therapist 1111 Crater Lake Ave, Medford, OR 97504-6241 2018-08-08
1851841993 Whitney Ann Gray Physical Therapist 3270 Liberty Rd S, Salem, OR 97302-4560 2016-10-13
1669894275 Janell Wyatt Physical Therapist 1700 E 19th St, Mcmc Physical Therapy Dept./ M-power Rehab, The Dalles, OR 97058-3317 2014-01-16
1821317967 Brian Trevor Groves Physical Therapist 910 Sw Highway 97, Suite 200, Madras, OR 97741-9247 2010-05-28

Competitor

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City PORTLAND
Zip Code 97239

Improve Information

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Dataset Information

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.

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