Mackie Enterprises LLC
Mackie Enterprises LLC is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.
- Licensed in
- OR
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1134 NE 70th AvePortland, OR 97213-5420
Phone: (971) 207-5010
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence C2538 (OR) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 07-09-29 (OR) |
Record details
| NPI number | 1700396793 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keith Mackie — Owner · (971) 207-5010 |
| NPI enumerated | October 4, 2017 |
| Last updated in NPPES | February 8, 2022 |
| Certification date | February 8, 2022 |
| Mailing address | 1134 Ne 70th Ave, Portland, OR 97213-5420 |
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Eric Wade Lysne, CADC-R, CRM1
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Keith John Mackie, LPC, CADCI
1134 NE 70th Ave, Portland, OR 97213-5420 · (971) 207-5010
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Nancy Lee Macklin, MS
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