Individual
MACKENZIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EPDH
Contact information
Practice address
155 N UMPQUA ST, SUTHERLIN, OR 97479-9567
(541) 837-1717
Mailing address
1436 NW KATIE DR, ROSEBURG, OR 97471-2265
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7243
OR
Other
Enumeration date
08/30/2023
Last updated
11/21/2025
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