National Provider Identifier Database

MACKENZIE N CARPENTER
Addiction (Substance Use Disorder)


Contact Information

MACKENZIE N CARPENTER
2210 N ELDORADO AVE
KLAMATH FALLS, OR97601-6418
Phone: 541-883-1030
Fax:
Website:
Specialty Taxonomy Code
* Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers 175T00000X
Technician 374700000X

* Indicates primary specialty

NPI Profile & details for MACKENZIE N CARPENTER

NPI Number 1619444304
Credentials
Entity Individual
Enumeration date 10/31/2018
Last updated 06/25/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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