Charles Malloy, DMD

NPI 1831274406 · on the registry since 2006 · sole proprietor

Practice

Address: 2730 Sw Moody Avenue
Portland, OR 97201
Phone: (503) 494-4316
Fax: (503) 494-2365
Organisation at this address: Osa
Oregon Health & Science University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 50

Registry record

Primary taxonomy: Prosthodontics
1223P0700X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-07-16

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