Michael Mallon

Individual Active
NPI 1194121715
Medical Physician Assistant Portland, OR

NPI 1194121715 belongs to Michael Mallon, a medical physician assistant with a practice location in Portland, OR. The NPI was issued on November 10, 2014, and the record was last updated in NPPES on July 10, 2024. The record lists 3 taxonomy codes. 2 additional practice locations are listed.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA218438 (OR)
Counselor 101Y00000X (OR)
Physician Assistant 363A00000X Not listed

Practice locations

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-3273
2730 S Moody Ave
Portland, OR 97201-5042
Phone: (503) 725-3442
3415 SE Powell Blvd
Portland, OR 97202-3371
Phone: (503) 234-9591

Local context

Active NPPES records list 451 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 330 of them within 10 miles.

The same primary taxonomy is listed by 730 in Oregon and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Michael Dean Mallon
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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