MACKENZIE JOHN MUNSON ATC
NPI 1821987132
Specialist/Technologist - Athletic Trainer in Portland, OR

Active since July 01, 2025
930 SW HALL ST, PORTLAND, OR 97201(503) 312-8752 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About MACKENZIE MUNSON

This page provides the complete NPI Profile along with additional information for Mackenzie Munson, a provider established in Portland, Oregon with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1821987132 assigned on July 2025. The practitioner's primary taxonomy code is 2255A2300X with license number AT-10205491 (OR). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1821987132 Verify this NPI
Provider Name
MACKENZIE JOHN MUNSON ATC
Gender
Male
Entity Type
Individual
Location Address
930 SW HALL ST PORTLAND, OR 97201
Location Phone
(503) 312-8752
Mailing Address
4385 NW PALO VERDE PL BEAVERTON, OR 97006
Is Sole Proprietor?
No
Enumeration Date
07-01-2025
Last Update Date
07-01-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
AT-10205491
License State
OR
Taxonomy Description
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
930 SW HALL ST
PORTLAND, OR 97201
Specialist/Technologist (Athletic Trainer)
930 SW HALL ST
PORTLAND, OR 97201
Specialist/Technologist (Athletic Trainer)
930 SW HALL ST
PORTLAND, OR 97201
Specialist/Technologist (Athletic Trainer)
930 SW HALL ST
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
930 SW HALL ST
PORTLAND, OR 97201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821987132, enumerated as an "individual" on July 01, 2025.

The provider is located at 930 SW HALL ST PORTLAND, OR 97201 and the phone number is (503) 312-8752.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.