Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mackenzy James Whetzel, PSS

Individual provider Peer Specialist · NPI 1588508196

Mr. Mackenzy James Whetzel, PSS is a Peer Specialist in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2026.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

500 SE Cass Ave Ste 110
Roseburg, OR 97470-3165
Phone: (541) 677-5520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 116347 (OR)

Record details

NPI number1588508196
Entity typeIndividual (Type 1)
GenderMale
Credentials PSS
Sole proprietorNo
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

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