Individual
MACKENZIE RAE ARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHAS, BS
Contact information
Practice address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 661-5455
(503) 661-4959
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
(503) 629-3581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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