KEITH JOHN MACKIE LPC CADCI NPI 1275867749

NPI Information

NPI: 1275867749
Provider Name: KEITH JOHN MACKIE, LPC, CADCI
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1134 NE 70TH AVE
PORTLAND, OR
ZIP 97213
Phone: (971) 207-5010
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Keith John Mackie, LPC, CADCI is a professional counselor in Portland, OR. Keith John Mackie, LPC, CADCI NPI is 1275867749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1134 NE 70TH AVE
PORTLAND, OR
ZIP 97213-420
Phone: (971) 207-5010

The enumeration date for this NPI number is 9/30/2009 and was last updated on 2/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	07-09-29	OREGON	No
2	103TC1900X	Psychologist	Counseling	C2348	OREGON	No
3	101YP2500X	Counselor	Professional	C2348	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	164936	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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