Individual
MACKENZIE RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1200 HILYARD ST STE 510, EUGENE, OR 97401-8150
(458) 205-7131
Mailing address
1814 L ST APT 2, SPRINGFIELD, OR 97477-3491
(541) 460-8622
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000109818
OR
175T00000X
Peer Specialist
109818
OR
Other
Enumeration date
01/05/2024
Last updated
04/30/2026
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