Organization
MACKENZIE TAYLOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE TAYLOR LICSW (LICSW)
(503) 926-9413
Entity
Organization
Contact information
Practice address
15481 TANAGER DR, LAKE OSWEGO, OR 97035-3104
(503) 341-2340
Mailing address
15481 TANAGER DR, LAKE OSWEGO, OR 97035-3104
(503) 341-2340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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