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

Individual provider Physician Assistant · NPI 1023271632

Mackenzie Anne McCrorey, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2008, 18 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Oregon.

Years since qualifying
18
Licensed in
IL, OR
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10000 SE Main St Ste 365
Portland, OR 97216-2474
Phone: (503) 261-4430
Fax: (503) 261-4436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1503 S State St Apt 508, Chicago, IL 60605-3414 — (312) 925-5903

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA195380 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 085003524 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085003524 (IL)

Record details

NPI number1023271632
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 3, 2008
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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