Individual
MRS. MALLORY SHARON LOPAS RIZZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6252 SW BURLINGAME AVE, PORTLAND, OR 97239-2633
(503) 515-4918
Mailing address
6252 SW BURLINGAME AVE, PORTLAND, OR 97239-2633
(503) 515-4918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16925
OR
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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