Individual
DR. HENRY A. MALUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
314 NE 19TH AVE, PORTLAND, OR 97232-2829
(503) 239-8181
Mailing address
314 NE 19TH AVE, PORTLAND, OR 97232-2829
(503) 239-8181
(503) 548-4013
Taxonomy
Speciality
Code
Description
License number
State
172P00000X
Naprapath
794
CA
175F00000X
Naturopath
Primary
1755
OR
175F00000X
Naturopath
291919-7100
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500636547
—
OR
Enumeration date
10/05/2010
Last updated
12/15/2020
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