Dawn M Mallard, SLPA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

A0738 Issued in OR

Practice address

6723 SE 16TH Ave
Portland, OR 97202-5706

Phone

(503) 421-8629

NPI assigned

Jun 21, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1144899550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 SE 16TH AVE # 82832",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025706",
            "telephone_number": "503-421-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 SE 16TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025706",
            "telephone_number": "503-421-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLARD",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "A0738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Ruedas Malit, M.D.
• Kari L Maljai, MA
• Stuart Malkin, LPC
• Blaire Ashley Mallahan, DO
• Nadine Mallak, MD
• Anna Mallea
• Sasha Mallett, MD MPH
• Bailee Mallon
• Michael Dean Mallon
• Mallory Harman Acupuncture LLC

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.