Individual
DR. BARBARA S MALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19260 SW 65TH AVE, SUITE 280, TUALATIN, OR 97062-5701
(971) 244-8711
(971) 200-2400
Mailing address
19260 SW 65TH AVE, SUITE 280, TUALATIN, OR 97062-5701
(971) 244-8711
(971) 200-2400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD17507
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00473073
RAILROAD MEDICARE PTAN
OR
Enumeration date
07/27/2006
Last updated
07/19/2014
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