# MACKENZIE TAYLOR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487516753
- **Authorized official:** MACKENZIE TAYLOR LICSW (LICSW)
- **Authorized official phone:** (503) 926-9413

## Contact information

- **Practice address:** 15481 TANAGER DR, LAKE OSWEGO, OR 97035-3104
- **Practice address phone:** (503) 341-2340
- **Mailing address:** 15481 TANAGER DR, LAKE OSWEGO, OR 97035-3104
- **Mailing address phone:** (503) 341-2340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2025
- **Last updated:** 11/25/2025