Individual
MALLORY FAJER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
759 SE WASHINGTON ST, HILLSBORO, OR 97123-4229
(503) 213-1700
Mailing address
17445 NW PARK VIEW BLVD, PORTLAND, OR 97229-3432
(541) 974-3460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
OR
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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