NPI

Mackenzie Anne Champ

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
N.D., LA.c
Type
Individual
Enumeration date
2013-09-18
Last updated
2015-01-23

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

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. OIG's online search is the official check.

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Nearby

Other NPIs in Nehalem, OR. 11 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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