Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Joseph R Mackenzie, PA-C

Individual provider Medical Physician Assistant · NPI 1619077187

Joseph R Mackenzie, PA-C is a Medical Physician Assistant in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Interstate Medical Ofc South 3500 N Interstate Ave
Portland, OR 97227-1196
Phone: (503) 285-9321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA00326 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA10001610 (WA)

Record details

NPI number1619077187
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJuly 8, 2007

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