Individual provider · Type 1 NPI

Mallory Temple

Student in an Organized Health Care Education/Training Program · Clackamas, OR

NPI number 1275394694 Active

Practice location

8645 SE Sunnybrook Blvd # 200
Clackamas, OR 97015-6841

Call (503) 659-1694 Map

Mailing address

5825 SE 18th Ave
Portland, OR 97202-5213

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275394694

Mallory Temple's National Provider Identifier is 1275394694, issued on Jan 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clackamas, OR. The record was last updated on Jan 22, 2024.