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MALLORY & WHITE PC NPI 1679070437


NPI Information

NPI: 1679070437
Provider Name: MALLORY & WHITE PC

Doing Business As: WILLAMETTE FALLS NEUROPSYCHOLOGY

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
619 MADISON ST STE 108
OREGON CITY, OR
ZIP 97045
Phone: (503) 303-4257
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MALLORY & WHITE PC is a clinic center in Oregon City, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MALLORY & WHITE PC NPI is 1679070437. The provider is registered as an organization entity type.
The provider Is Doing Business As Willamette Falls Neuropsychology.

The provider's business location address is:

619 MADISON ST STE 108
OREGON CITY, OR
ZIP 97045-354
Phone: (503) 303-4257

The provider's authorized official is Loren Mallory .
The authorized official title is Provider and has the following contact phone number (503) 303-4257.

The enumeration date for this NPI number is 4/9/2018 and was last updated on 4/9/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center978OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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