Mallov, Joseph S

Mallov, Joseph S is an individual health care provider with primary practice located at 10101 Se Main St Suite 1001, Portland OR 97216-2455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Mallov, Joseph S can be contacted via phone (503) 255-3404.

Contact Information

Primary practice address
10101 Se Main St Suite 1001 Portland OR 97216-2455
Phone: (503) 255-3404
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 33955 Tennessee
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD150628 Oregon

Profile Details

NPI number 1558336958
LBN Legal business name Mallov, Joseph S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Jan 7th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558336958 NPPES
Other 460002986 MEDICARE RAILROAD

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