MCKENZIE VILLANUEVA
NPI 1124645163
Contractor in Medford, OR

Active since June 25, 2020
18 MYRTLE ST, MEDFORD, OR 97504(541) 301-0522 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mckenzie Villanueva NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCKENZIE VILLANUEVA (NPI 1124645163) is an individual contractor provider in Medford, Oregon, licensed in (BAP-TA-10200933) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1124645163
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameMCKENZIE VILLANUEVA
Location Address18 MYRTLE STMedford, OR 97504-7338
Mailing Address18 Myrtle StMedford, OR 97504-7338 · (541) 301-0522
Sole ProprietorYes
Enumeration DateJune 25, 2020
NPPES CertifiedJune 25, 2020
NPI 1124645163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed · BAP-TA-10200933
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
18 MYRTLE ST, Medford, OR 97504

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
18 MYRTLE ST
MEDFORD, OR 97504
Massage Therapist
18 MYRTLE ST
MEDFORD, OR 97504
Registered Nurse (Maternal Newborn)
18 MYRTLE ST
MEDFORD, OR 97504
Clinic/Center (Health Service)
18 MYRTLE ST
MEDFORD, OR 97504
Massage Therapist
18 MYRTLE ST
MEDFORD, OR 97504
Specialist
18 MYRTLE ST, SUITE 102
MEDFORD, OR 97504
Social Worker (Clinical)
18 MYRTLE ST, SUITE 102
MEDFORD, OR 97504
Naturopath
18 MYRTLE ST
MEDFORD, OR 97504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckenzie Villanueva's NPI number?

The NPI number for Mckenzie Villanueva is 1124645163. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Mckenzie Villanueva located?

Mckenzie Villanueva practices at 18 Myrtle St, Medford, OR 97504. The listed phone number is (541) 301-0522.

What is Mckenzie Villanueva's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Mckenzie Villanueva was last updated on June 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.