Firestone, Mallory

Firestone, Mallory is an individual health care provider with primary practice located at 219 42Nd St , Springfield OR 97478-5937. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Firestone, Mallory can be contacted via phone (541) 224-6987.

Contact Information

Primary practice address
219 42Nd St Springfield OR 97478-5937
Phone: (541) 224-6987
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1679293625
LBN Legal business name Firestone, Mallory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2022
Last updated Aug 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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