IndividualActive
Mackenzie Champ, N.D., LA.C
NPI 1588090856 · Naturopath · Nehalem, OR
Provider details
- NPI number
- 1588090856
- Entity type
- Individual
- Primary specialty
- NaturopathOther Service Providers
- Credential
- N.D., LA.C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 156719 (OR)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Other Service Providers
Practice location
35890 Highway 101 N
Nehalem, OR 97131-9599
Phone: (503) 368-4312
Fax: (503) 368-4315
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 504
Nehalem, OR 97131-0504
Registry dates
- Enumerated
- 2013-09-18
- Last updated
- 2015-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.