Individual
MALLORY L TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
330 SE 3RD ST, TROUTDALE, OR 97060-2080
(425) 275-2298
(503) 575-1433
Mailing address
1544 N HIGHLAND ST, PORTLAND, OR 97217-4824
(425) 275-2298
(503) 575-1433
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22475
OR
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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