Individual
MACKENZIE NORTHRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
5127 COUNTRYSIDE ST NE APT 303, SALEM, OR 97305-4194
(801) 598-2204
Mailing address
5127 COUNTRYSIDE ST NE APT 303, SALEM, OR 97305-4194
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
02/05/2026
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