MACKENZIE VAN LOO (PT) – Physical Therapist, NPI 1104348861

MACKENZIE VAN LOO (PT) is a healthcare provider. based in Mcminnville, Oregon. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 62296 (OR). The NPI Number for MACKENZIE VAN LOO (PT) is 1104348861

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MACKENZIE VAN LOO (PT)
NPI
1104348861
Phone
(503) 434-9594
Address
2191 NW 2nd St Bldg 4
Enumeration Date
13 July 2017
Last Update Date
30 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413825500
Graduation Year
2017 (9 years ago)
PAC ID
0840561163
Group Practice PAC ID
8325941446
Professional Enrollment ID
I20170804002162
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for MACKENZIE VAN LOO (PT)

  • 2191 NW 2nd St Bldg 4

    McMinnville, OR 971289106

    Phone: (503) 434-9594

    Fax: (503) 434-6808

    Type: Location

  • PO BOX 1517

    PENDLETON, OR 978010410

    Phone: (877) 708-1119

    Fax: (541) 278-8349

    Type: Mailing

  • Southwest Cyber Drive, Bend, Deschutes County, Oregon, 97702, United States

    BEND, OR 977021682

    Phone: (541) 382-5500

    Fax: (541) 389-5669

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325941446View full group profile
NameSpecialtyState
Family PracticeOR
Nurse PractitionerOR
A L L E R G Y/ I M M U N O L O G YOR
-OR
Family PracticeOR
-OR
Physician AssistantOR
Family PracticeOR
Nurse PractitionerOR
Family PracticeOR

Reviews

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Frequently asked questions

How do I look up MACKENZIE VAN LOO (PT) by NPI?
Use NPI 1104348861 when you need to reference MACKENZIE VAN LOO (PT) in forms, claims, or directories.
Is MACKENZIE VAN LOO (PT) active in the national directory?
MACKENZIE VAN LOO (PT)'s public NPI profile is in an active state.
Does MACKENZIE VAN LOO (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MACKENZIE VAN LOO (PT). Clinical services aligned with this taxonomy classification.
Does MACKENZIE VAN LOO (PT) practice in Oregon?
You will see Mcminnville, Oregon on file for MACKENZIE VAN LOO (PT) alongside any extra practice locations.
How can I contact MACKENZIE VAN LOO (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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