Individual provider · Type 1 NPI

Mallory King

Licensed Practical Nurse · Portland, OR

NPI number 1366154569 Active

Practice location

8643 NE Beech St
Portland, OR 97220-5012

Call (503) 256-2151 Map

Mailing address

2380 19th St
West Linn, OR 97068-4068

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X201130139LPN (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1366154569

Mallory King's National Provider Identifier is 1366154569, issued on Dec 19, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Portland, OR. The record was last updated on Dec 19, 2022.