Mallett, Barbara S
Mallett, Barbara S is an sole proprietor health care provider with primary practice located at 19260 Sw 65Th Ave Suite 280, Tualatin OR 97062-5701. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mallett, Barbara S can be contacted via phone (971) 244-8711.Contact Information
Primary practice address
19260 Sw 65Th Ave Suite 280
Tualatin OR 97062-5701
Phone: (971) 244-8711
Fax: (971) 200-2400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD17507 | Oregon |
Profile Details
| NPI number | 1457375719 |
|---|---|
| LBN Legal business name | Mallett, Barbara S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 19th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457375719 | NPPES |
| Oregon | Other | P00473073 | RAILROAD MEDICARE PTAN |
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