Individual
LAUREN S MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
10566 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 734-3800
(503) 734-3808
Mailing address
7650 SW BEVELAND RD STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2006650150NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247671
—
OR
01
—
R158488
MEDICARE PTAN
OR
Enumeration date
01/05/2007
Last updated
01/30/2026
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