Individual
ALEXANDRA M MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
2330 NW FLANDERS ST, STE G-1, PORTLAND, OR 97210-3442
(503) 224-9270
(503) 224-9271
Mailing address
2330 NW FLANDERS ST, STE G-1, PORTLAND, OR 97210-3442
(503) 224-9270
(503) 224-9271
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
1003686
OR
225XH1200X
Hand Occupational Therapist
OT00003472
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098565021
BCBS OF OR
OR
01
—
173552
WA L&I
WA
05
—
227463
—
OR
05
—
8419962
—
WA
Enumeration date
12/12/2005
Last updated
04/16/2021
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