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1144899550
DAWN M MALLARD
PORTLAND, OR
NPI
1144899550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR A0738)
Enumeration Date
2021-06-21
Last Update Date
2021-06-21
Business Address
DAWN M MALLARD SLPA
6723 SE 16TH AVE
PORTLAND, OR 97202-5706
Phone number: 503-421-8629
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Mailing Address
DAWN M MALLARD SLPA
6723 SE 16TH AVE # 82832
PORTLAND, OR 97202-5706
Phone number: 503-421-8629
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