Kennedy, Mallory
Kennedy, Mallory is an sole proprietor health care provider with primary practice located at 4216 Ne 24Th Ave , Portland OR 97211-6414. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kennedy, Mallory can be contacted via phone (845) 893-7389.Contact Information
Primary practice address
4216 Ne 24Th Ave
Portland OR 97211-6414
Phone: (845) 893-7389
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 233754 | Oregon |
Profile Details
| NPI number | 1205192283 |
|---|---|
| LBN Legal business name | Kennedy, Mallory |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2012 |
| Last updated | Apr 11th, 2024 - about 2 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.
Popular Providers
-
Haslebacher, Kristen
4444 Sw Multnomah Blvd , Portland OR 97219-3558 -
Levine, Lara
3181 Se Sam Jackson Road , Portland OR 97239 -
Brown, Nancy Ann
3600 N Interstate Ave , Portland OR 97227-1106 -
Peterson, Rebecca Anne
5220 Ne Sacramento St , Portland OR 97213-2666 -
Gimse, Loretta
2120 Ne 59Th Ave , Portland OR 97213-4122 -
Pine, Diedra M
1675 Sw Marlow Ave Ste 200 , Portland OR 97225-5102 -
Kistler, Michaela A
5220 Ne Sacramento St , Portland OR 97213-2666 -
Salisbury, Rachel
3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011