Individual
CAMERON FORSYTHE MACKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 S MACADAM AVE STE 375, PORTLAND, OR 97239-3566
(503) 461-1609
Mailing address
132 E BROADWAY STE 810, EUGENE, OR 97401-3160
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T2426
OR
Other
Enumeration date
07/14/2022
Last updated
08/02/2024
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