Organization
KEN MACKIE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN MACKIE LCSW (MANAGER/THERAPIST)
(530) 262-0517
Entity
Organization
Contact information
Practice address
2600 NW CENTURY DR APT 303, CORVALLIS, OR 97330-4736
(541) 250-0243
Mailing address
2600 NW CENTURY DR APT 303, CORVALLIS, OR 97330-4736
(541) 250-0243
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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