MALLORY KING

PORTLAND, OR
NPI1366154569
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201130139LPN)
Enumeration Date2022-12-19
Last Update Date2022-12-19
Business Address
MALLORY KING
8643 NE BEECH ST
PORTLAND, OR 97220-5012
Phone number: 503-256-2151
Mailing Address
MALLORY KING
2380 19TH ST
WEST LINN, OR 97068-4068
Phone number: 503-250-3356