Individual
MALLORY ALYSE KEMPTON-HEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11956 SW GARDEN PL, TIGARD, OR 97223-8248
(503) 941-3807
(503) 941-3809
Mailing address
11956 SW GARDEN PL, TIGARD, OR 97223-8248
(503) 941-3807
(503) 941-3809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016025
OR
183500000X
Pharmacist
116592
AK
183500000X
Pharmacist
60901499
WA
183500000X
Pharmacist
75604
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016025
PHARMACIST LICENSE
OR
Enumeration date
04/05/2018
Last updated
01/31/2024
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