Individual
MR. JOSEPH F MALLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7340 SW 163RD PL, BEAVERTON, OR 97007-6365
(971) 322-6580
Mailing address
7340 SW 163RD PL, BEAVERTON, OR 97007-6365
(971) 322-6580
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
19459
OR
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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