Individual
MACKENZY KILLIAN MINGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4950 NE BELKNAP CT STE 205, HILLSBORO, OR 97124-5115
(503) 560-5822
(888) 503-2864
Mailing address
4950 NE BELKNAP CT STE 205, HILLSBORO, OR 97124-5115
(503) 560-5822
(888) 503-2864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
10/02/2019
Last updated
03/13/2026
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