MALLORY MARIE MCNICHOLAS DOTSON

PORTLAND, OR
NPI1114179116
Former NameMALLORY MARIE MCNICHOLAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA1405)
Enumeration Date2008-10-21
Last Update Date2015-01-08
Business Address
-- MALLORY MARIE MCNICHOLAS DOTSON PA-C
10000 SE MAIN ST SUITE 112
PORTLAND, OR 97216-2448
Phone number: 503-255-3054
Mailing Address
-- MALLORY MARIE MCNICHOLAS DOTSON PA-C
10000 SE MAIN ST SUITE 112
PORTLAND, OR 97216-2448
Phone number: 503-255-3054
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