Individual
MACKENZIE POISAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
5200 S MACADAM AVE STE 580, PORTLAND, OR 97239-3837
(503) 231-7854
(503) 231-8153
Mailing address
548 SE LINES ST, DALLAS, OR 97338-1960
(503) 910-8817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A10281
OR
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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