Mallard, Dawn M

Mallard, Dawn M is an individual health care provider with primary practice located at 6723 Se 16Th Ave , Portland OR 97202-5706. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mallard, Dawn M can be contacted via phone (503) 421-8629.

Contact Information

Primary practice address
6723 Se 16Th Ave Portland OR 97202-5706
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X A0738 Oregon

Profile Details

NPI number 1144899550
LBN Legal business name Mallard, Dawn M
Credentials SLPA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2021
Last updated Jun 21st, 2021 - about 5 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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