Organization
MALLORY & WHITE PC
Active
Other names
Willamette Falls Neuropsychology
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN MALLORY PHD, ABPP (PROVIDER)
(503) 303-4257
Entity
Organization
Contact information
Practice address
619 MADISON ST STE 108, OREGON CITY, OR 97045-2354
(503) 303-4257
Mailing address
619 MADISON ST STE 108, OREGON CITY, OR 97045-2354
(503) 303-4257
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
978
OR
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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