Individual
MACKENZIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
13456 SW HAWKS BEARD ST APT 223, TIGARD, OR 97223-1912
(503) 495-5035
Mailing address
13456 SW HAWKS BEARD ST APT 223, TIGARD, OR 97223-1912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C10384
OR
Other
Enumeration date
08/20/2018
Last updated
09/22/2025
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