Individual
ALEXANDRA MALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 SW SCHOLLS FERRY RD STE 108, PORTLAND, OR 97225-1691
(503) 893-9805
Mailing address
2024 SE 102ND AVE, PORTLAND, OR 97216-3009
(920) 621-2997
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4432
OR
175F00000X
Naturopath
NT61230960
WA
175F00000X
Naturopath
—
—
Other
Enumeration date
10/05/2021
Last updated
08/10/2022
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