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Michael Mallon
NPI 1194121715 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3181 Sw Sam Jackson Park Rd
Portland, OR 97239 - Phone
- (503) 494-3273
- Fax
- (503) 418-2208
- Organisation at this address
- Pdx Doulas
Emily Simpson, Lmt
University Professional Services
University Professional Services
University Professional ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3,953
Additional practice sites
- 3415 Se Powell Blvd, Portland, OR
- 2730 S Moody Ave, Portland, OR
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- Counselor
Physician Assistant - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon