Kevin Frederick Mallon in Portland - Health
Kevin Frederick Mallon - NPI 1417930009
Kevin Frederick Mallon is a Health in Portland, Oregon. Kevin Frederick Mallon practices all healthcare services and medical treatments related to Health. The NPI Number for Kevin Frederick Mallon is 1417930009. The last update date is 2009-11-23.
Kevin Frederick Mallon's current location address is Po Box 1034, Portland, Oregon. You can contact this provider via phone number 5039065019 and fax number 5039065193. The mailing address for Kevin Frederick Mallon is Po Box 1034, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Frederick Mallon |
|---|---|
| Address | Po Box 1034, Portland, Oregon |
| Phone Number | 5039065019 |
| Fax Number | 5039065193 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1417930009 |
|---|---|
| Provider Enumeration Date | 2005-11-28 |
| Last Updated Date | 2009-11-23 |
Provider Mailing Address Detail
| Address | Po Box 1034 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972071034 |
| Phone Number | 5039065019 |
| Fax Number | 5039065193 |
Provider's Primary Taxonomy Detail
| Speciality | Health |
|---|---|
| Taxonomy | 103Th0004X |
| Licence No | PSY 13735 |
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Definition: A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinica |
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What is the unique 10-digit identification code assigned to Kevin Frederick Mallon by the Centers for Medicare & Medicaid Services?
The Kevin Frederick Mallon has been issued the NPI (National Provider Identifier) 1417930009, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kevin Frederick Mallon?
The Kevin Frederick Mallon is situated at Po Box 1034, in the city of Portland, state of OR, with the zip code 972071034.
What is Kevin Frederick Mallon's area of expertise and its corresponding taxonomy classification?
The Kevin Frederick Mallon's field of specialization is Health, and it falls under the taxonomy code 103Th0004X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1417930009 to Kevin Frederick Mallon?
The Kevin Frederick Mallon received its 1417930009 assignment from the Centers for Medicare & Medicaid Services on 2005-11-28.
When was the Kevin Frederick Mallon's information last updated?
The Kevin Frederick Mallon's information was last updated on 2009-11-23.
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