Individual
MR. MACKENZY JAMES WHETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
500 SE CASS AVE STE 110, ROSEBURG, OR 97470-3165
(541) 677-5520
Mailing address
2589 NW EDENBOWER BLVD, ROSEBURG, OR 97471-6224
(541) 529-9190
(541) 529-9190
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
116347
OR
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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