Individual
SASHA MALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
1700 NE 102ND AVE, KAISER PERMANENTE GATEWAY MEDICAL OFFICE, PORTLAND, OR 97220
(503) 652-2880
Mailing address
1700 NE 102ND AVE, KAISER PERMANENTE GATEWAY MEDICAL OFFICE, PORTLAND, OR 97220
(503) 652-2880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD166043
OR
Other
Enumeration date
04/04/2012
Last updated
01/13/2016
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