Mackenzie Anne Champ, ND, LAC is a
Naturopath based in Nehalem, Oregon. Mackenzie Anne Champ is licensed to practice in Oregon (license number 2005) and her current practice location is
35890 Highway 101 N, Nehalem, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 368-4312.
NPI number for Mackenzie Anne Champ is 1588090856 and her current mailing address is Po Box 504, Nehalem, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588090856.
Healthcare Provider's Profile
| Full Name | Mackenzie Anne Champ |
|---|
| Gender | Female |
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| Speciality | Naturopath |
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| Location | 35890 Highway 101 N, Nehalem, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588090856
- Provider Enumeration Date: 09/18/2013
- Last Update Date: 01/23/2015
Medical Identifiers
Medical identifiers for Mackenzie Anne Champ such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588090856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 156719 (Oregon) | Secondary |
| 173C00000X | Reflexologist | 14010 (Oregon) | Secondary |
| 175F00000X | Naturopath | 2005 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mackenzie Anne Champ is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mackenzie Anne Champ, ND, LAC
Po Box 504,
Nehalem, OR 97131-0504
Ph: (503) 368-4312 | Mackenzie Anne Champ, ND, LAC
35890 Highway 101 N,
Nehalem, OR 97131-9599
Ph: (503) 368-4312 |
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