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Mallory Kennedy
NPI 1205192283 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4216 Ne 24th Ave
Portland, OR 97211 - Phone
- (845) 893-7389
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225XP0200X
225XP0200X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-11
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