MICHAEL DEAN MALLON

PORTLAND, OR
NPI1194121715
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies101Y00000X Counselor
Enumeration Date2014-11-10
Last Update Date2021-09-09
Business Address
Mr. MICHAEL DEAN MALLON
2730 S MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-725-3442
Mailing Address
Mr. MICHAEL DEAN MALLON
1627 SE REEDWAY ST APT 202
PORTLAND, OR 97202-5153
Phone number: 503-951-9744
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