NPI
Mackenzie Anne Champ
NPI 1588090856
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- N.D., LA.c
- Type
- Individual
- Enumeration date
- 2013-09-18
- Last updated
- 2015-01-23
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Specialties
Licenses
- License OR
- 156719
- License OR
- 14010
- License OR
- 2005
Location
- Practice location
- 35890 Highway 101 N
- City
- Nehalem OR
- Postal code
- 97131-9599
- Phone
- (503) 368-4312
- Fax
- (503) 368-4315
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Nehalem, OR. 11 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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