Mackenzie Russell, SLP
Mackenzie Russell is a Speech-Language Pathologist provider (Speech-Language Pathologist) practicing in Gresham, OR, registered in the NPPES registry with NPI 1215554472 since 2020. The credential SLP stands for Speech-Language Pathologist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215554472 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mackenzie Russell |
| Credential | SLP |
| Sex | Female |
| Practice address | 304 NE HOOD AVE, Gresham, OR, 97030 |
| Phone | 5036661333 |
| Fax | 5036662444 |
| Enumeration date | 2020-07-02 |
| Last updated in NPPES | 2020-07-02 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist | Primary | 016695 | OR |
SLP — Speech-Language Pathologist: A licensed clinician treating speech, language, and swallowing disorders. About the SLP credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016695 | Other | OR | SPEECH AND LANGUAGE PATHOLOGY BOARD |
Copy-ready billing details
Provider: Mackenzie Russell, SLP NPI: 1215554472 Taxonomy: 235Z00000X (Speech-Language Pathologist) Address: 304 NE HOOD AVE, Gresham, OR, 97030
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1952387599 | Jami Baillie | Individual | Specialist | Gresham, OR |
| 1336676634 | Kristen Erich | Individual | Pediatric Rehabilitation Medicine Physician | Gresham, OR |
| 1174032312 | Tiffany Chen | Individual | Occupational Therapist | Gresham, OR |
| 1649784018 | Rebecca Crockett | Individual | Pediatric Physical Therapist | Gresham, OR |
| 1336640853 | Samantha Voigt | Individual | Pediatric Occupational Therapist | Gresham, OR |
| 1457845398 | Abigail Cryan | Individual | Speech-Language Pathologist | Gresham, OR |
| 1437621190 | Melissa Penington | Individual | Pediatric Occupational Therapist | Gresham, OR |
| 1013489608 | Namita Avarsekar | Individual | Pediatric Physical Therapist | Gresham, OR |
Verify this record
Cross-check NPI 1215554472 against the authoritative CMS record: view Mackenzie Russell on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Is NPI 1215554472 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-07-02.