Mckenzie, Kristi Ann

Mckenzie, Kristi Ann is an individual health care provider with primary practice located at 54771 Mckenzie Hwy , Blue River OR 97413-9790. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mckenzie, Kristi Ann can be contacted via phone (541) 234-3255.

Contact Information

Primary practice address
54771 Mckenzie Hwy Blue River OR 97413-9790
Fax:
Website:

Health care specialties

Profile Details

NPI number 1265742811
LBN Legal business name Mckenzie, Kristi Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2010
Last updated Nov 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265742811 NPPES
Oregon MEDICAID 500721884

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