Malloy, Charles M

Malloy, Charles M is an sole proprietor health care provider with primary practice located at 2730 Sw Moody Avenue , Portland OR 97201-5042. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Malloy, Charles M can be contacted via phone (503) 494-4316.

Contact Information

Primary practice address
2730 Sw Moody Avenue Portland OR 97201-5042
Phone: (503) 494-4316
Fax: (503) 494-2365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X D7264 Oregon

Profile Details

NPI number 1831274406
LBN Legal business name Malloy, Charles M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Jul 16th, 2014 - about 12 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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