Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396153540 Individual Practitioner Female Practitioner

Mackenna Luttrell , LMP

Specialist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Mackenna Luttrell, LMP is a registered healthcare professional specializing in Specialist in Vancouver, WA. Practice services are available at 13025 NE FOURTH PLAIN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13025 Ne Fourth Plain Blvd
Suite 102

Vancouver, WA 98682

Telephone 3607188240
Fax 3607188241
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
159 Specialists

Practicing in Vancouver, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA60486817

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Bridget Raach , LMP

Mechanotherapist

NPI 1467604512

Licensed Massage Practitioner

NPI 1669841367

Licensed Massage Practitioner

NPI 1710463104

Licensed Massage Therapist

NPI 1730524851

Doctor of Education (Ed.D.), Licensed Acupuncturist, Master of Public Health, CPH

NPI 1851514467

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 31, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2014

Registered at 13025 NE FOURTH PLAIN BLVD, SUITE 102, VANCOUVER, WA 98682 (Tel: 3607188240)

📍
Updated Business Mailing Address July 31, 2014

Registered at 956 14TH ST, WASHOUGAL, WA 98671 (Tel: 3609091173)

👤
Provider Name / Credentials Updated July 31, 2014

Recorded as MACKENNA LUTTRELL, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2014

Specialist (License #MA60486817 in WA)

🟢
Initial NPI Registration & Enumeration July 31, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396153540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2014
Last Update: July 31, 2014
Sole Proprietor: Yes

Mailing Address

956 14th St

Washougal, WA 98671

Phone: 3609091173

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.