Mallin, Michael Patrick

Mallin, Michael Patrick is an sole proprietor health care provider with primary practice located at 1253 Nw Canal Blvd , Redmond OR 97756-1334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Mallin, Michael Patrick can be contacted via phone (541) 548-8131.

Contact Information

Primary practice address
1253 Nw Canal Blvd Redmond OR 97756-1334
Phone: (541) 548-8131
Fax: (541) 460-4028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 7152242-8905 Utah
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD182712 Oregon

Profile Details

NPI number 1730330788
LBN Legal business name Mallin, Michael Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2008
Last updated Nov 1st, 2022 - about 2 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 1730330788 NPPES
Oregon MEDICAID 500725416

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