Individual
MALLORY KILMURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19875 SW 65TH AVE STE 100, TUALATIN, OR 97062-8353
(503) 612-3187
Mailing address
19875 SW 65TH AVE STE 100, TUALATIN, OR 97062-8353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23-09-10862
OR
1041C0700X
Clinical Social Worker
Primary
L16974
OR
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/23/2018
Last updated
11/12/2025
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