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
Phone: (541) 234-3255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L13255 | Oregon |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265742811 | NPPES |
| Oregon | MEDICAID | 500721884 |
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