Marisa Mackenzie

Individual Active
NPI 1790505873
Pediatric Nurse Practitioner Portland, OR

Marisa Mackenzie holds NPI 1790505873, with a primary taxonomy of pediatric nurse practitioner and a practice location in Portland, OR. The number was issued on October 14, 2024 and the NPPES record was last updated on March 18, 2025. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 10032067 (OR)
Nurse Practitioner 363L00000X 10032067 (OR)

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-5350

Local context

Active NPPES records list 162 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 124 of them within 10 miles.

The same primary taxonomy is listed by 221 in Oregon and 24,071 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Marisa Mackenzie
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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