Active NPI
Mikenzie A Owning
- Behavior Technician
- Tualatin, OR
National Provider Identifier
1326853094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- ABA-IN-10252585
- Practice address
- 18765 SW Boones Ferry Rd Ste 100
Tualatin, OR 97062-8607 - Phone
- (503) 612-1000
- NPI assigned
- Feb 10, 2025
- Last updated
- Mar 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | ABA-IN-10252585 | OR | Primary |
Addresses
Primary practice location
18765 SW Boones Ferry Rd Ste 100
Tualatin, OR 97062-8607
Mailing address
19621 SW Colby LN
Hillsboro, OR 97123-8737
Phone (209) 479-1263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ABA-IN-10252585 | OR | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1326853094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19621 SW COLBY LN",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971238737",
"telephone_number": "209-479-1263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18765 SW BOONES FERRY RD STE 100",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628607",
"telephone_number": "503-612-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWNING",
"first_name": "MIKENZIE",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-10",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OR",
"license": "ABA-IN-10252585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
- Oregon Pediatrics- Meridian Park, LLC
- Oregon Spine Care LLC (Oregon Spine Care)
- Nathan Daniel Orvets, MD
- Kaycee Lynn Owens, MS CC SLP
- Gary Owings, RPH
- Kevin Keith Oyama, MD
- P Bowman LLC (Tualatin Pharmacy)
- Pacific Cataract and Laser Institute, Inc., P.C.
- Pacific Eye Group, PC (Pacific Eye Group)
- Pacific Heart Associates, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.