Mackenzie Margaret Clark, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

4477 Issued in OR

Practice address

470 6TH St Ste C
Lake Oswego, OR 97034

Phone

(503) 505-9806

Fax

(503) 505-9807

NPI assigned

Oct 6, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Networks

• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

• Direct secure messaging: mackenzie.clark.1@32746.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinicops, LLC

  • Family Medicine Physician
  • Portland, OR
  • NPI 1275821266

  Naturopath

  NPD (past)
• Lake Oswego Health Center

  • Naturopath
  • Lake Oswego, OR
  • NPI 1225370083
  NPD (past)
• Lake Oswego Health Center

  • Naturopath
  • Lake Oswego, OR
  • NPI 1770993545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1003531666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 6TH ST STE C",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970342920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 6TH ST STE C",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97034",
            "telephone_number": "503-505-9806",
            "fax_number": "503-505-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MACKENZIE",
        "middle_name": "MARGARET",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Lake Oswego
• Clackamas Counseling Center, LLC
• Clackamas County School District 7
• Joseph Allen Clark, LMT
• Kylie Clark
• Clawson & Ebel LLC
• Clearblue Labs
• Clearsky Counseling LLC
• Katherine Sullivan Cleveland
• Kevin Clifton

• Naturopath in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.