person
Mallory Marie Mcnicholas Dotson, PA-C
Medical Physician Assistant in Portland, Oregon
NPI 1114179116

Mallory Marie Mcnicholas Dotson is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Mallory Marie Mcnicholas Dotson practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Mallory Marie Mcnicholas Dotson is 1114179116 and holds a License No. PA1405 (Oregon).

The current practice location address for Mallory Marie Mcnicholas Dotson is 10000 Se Main St, Portland, OR and can be reached out via phone at 503-255-3054 and via fax at 503-255-7651. You can also correspond with Mallory Marie Mcnicholas Dotson through the mailing address at 10000 SE MAIN ST, PORTLAND, OR - 97216-2448 (mailing address contact number: 503-255-3054).

Location: 10000 Se Main St, Portland, OR, 97216-2448
person
Provider Profile Details
NPI Number
1114179116
Provider Name
Mallory Marie Mcnicholas Dotson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
10000 Se Main St, Portland, OR, 97216-2448
Phone Number
503-255-3054
Fax Number
503-255-7651
Provider Enumeration Date
10/21/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
PA1405 01 OR LICENCE
institution
Provider Business Practice Location Address Details
Address
10000 Se Main St
City
State
Zip
97216-2448
Phone Number
503-255-3054
Fax Number
503-255-7651
person
Provider Business Mailing Address Details
Address
10000 Se Main St
City
State
Zip
97216-2448
Phone Number
503-255-3054
Fax Number
503-255-7651
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1405 (Oregon)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Portland, Oregon: