Individual
MAKENZIE MAURICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
22566 SW WASHINGTON ST STE 212, SHERWOOD, OR 97140-7923
(503) 884-3246
Mailing address
22566 SW WASHINGTON ST STE 212, SHERWOOD, OR 97140-7923
(503) 884-3246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023425
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023425
LMT
—
Enumeration date
09/24/2020
Last updated
02/27/2026
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