JOSEPH R MACKENZIE P.A. - C
NPI 1619077187
Physician Assistant - Medical in Portland, OR

Q: What is Joseph Mackenzie's NPI number?

The NPI number for Joseph Mackenzie is 1619077187. It was assigned to this individual provider in the NPPES registry on September 25, 2006. The provider is also known as Roger Mackenzie Moore R.N..

Q: What is Joseph Mackenzie's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Mackenzie was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 25, 2006

INTERSTATE MEDICAL OFFICE SOUTH, 3500 N. INTERSTATE AVE., PORTLAND, OR 97227(503) 285-9321 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Joseph R Mackenzie P.a. - C NPPES

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

JOSEPH R MACKENZIE P.A. - C (NPI 1619077187) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA00326) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1619077187

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJOSEPH R MACKENZIECredential: P.A. - C

Location AddressINTERSTATE MEDICAL OFFICE SOUTH, 3500 N. INTERSTATE AVE.Portland, OR 97227-1196

Mailing Address1215 22nd Ave.Longview, WA 98632-2823

Phone(503) 285-9321

Sole ProprietorNo

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619077187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in OR · PA00326✔ Licensed in WA · PA10001610

INTERSTATE MEDICAL OFFICE SOUTH, Portland, OR 97227

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Other Names 1

Former Name (1)Roger Mackenzie Moore R.n.

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 Joseph Mackenzie's NPI number?

The NPI number for Joseph Mackenzie is 1619077187. It was assigned to this individual provider in the NPPES registry on September 25, 2006. The provider is also known as Roger Mackenzie Moore R.N..

Where is Joseph Mackenzie located?

Joseph Mackenzie practices at Interstate Medical Office South 3500 N. Interstate Ave., Portland, OR 97227. The listed phone number is (503) 285-9321.

What is Joseph Mackenzie's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Joseph Mackenzie was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.