Individual
MALLORY ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 N PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-5607
Mailing address
1001 N PROVIDENCE DR, NEWBERG, OR 97132-7485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD223422
OR
207R00000X
Internal Medicine Physician
T9800
TX
Other
Enumeration date
03/21/2020
Last updated
12/02/2025
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