Provider Demographics
NPI:1831060037
Name:SEATON, MAKENZI (CCC-SLP)
Entity type:Individual
Prefix:
First Name:MAKENZI
Middle Name:
Last Name:SEATON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:MAK
Other - Middle Name:
Other - Last Name:SEATON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:14030 NE SACRAMENTO ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-3961
Mailing Address - Country:US
Mailing Address - Phone:503-262-4000
Mailing Address - Fax:
Practice Address - Street 1:14030 NE SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-3961
Practice Address - Country:US
Practice Address - Phone:503-262-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17971235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist