Mallory, Loren E

Mallory, Loren E is an individual health care provider with primary practice located at 619 Madison St Ste 108 , Oregon City OR 97045-2354. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Mallory, Loren E can be contacted via phone (503) 303-4257.

Contact Information

Primary practice address
619 Madison St Ste 108 Oregon City OR 97045-2354
Phone: (503) 303-4257
Fax: (503) 387-3957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0978 Oregon
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 978 Oregon

Profile Details

NPI number 1992853402
LBN Legal business name Mallory, Loren E
Credentials PHD, ABPP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Apr 9th, 2018 - about 6 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 1992853402 NPPES
Other 117227 MHN HMC
MEDICAID 042544 MHN HMC

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