Individual
RICHELLE MALOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # L113, PORTLAND, OR 97239-3011
(503) 494-8276
Mailing address
PO BOX 8825, PORTLAND, OR 97207-8825
(503) 274-2373
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD19766
OR
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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