Search › Oregon › 101YA0400X
Wayne Mallory, CADCI
NPI 1881906238 · on the registry since 2010
Practice
- Address
- 16000 Se Powell Blvd Unit 65
Portland, OR 97236 - Phone
- (503) 239-5738
- Fax
- (503) 239-8429
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-13
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