Barbara S Mallett,MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD17507 Issued in OR

Legal business name

BARBARA S MALLETT,MD PC

Practice address

6542 SE Lake Rd
Suite 202
Milwaukie, OR 97222-2244

Phone

(503) 654-5636

NPI assigned

Mar 4, 2014

Last updated

Mar 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara S Mallett, M.DNPI 1457375719

Title

Owner

Phone

(503) 654-5636

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara S Mallett, MD

  • Specialist
  • Tualatin, OR
  • NPI 1457375719
  NPD (past) Authorized official

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1184049918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 SE LAKE RD",
            "address_2": "SUITE 202",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222244",
            "telephone_number": "503-654-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 SE LAKE RD",
            "address_2": "SUITE 202",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222244",
            "telephone_number": "503-654-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA S MALLETT,MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "MALLETT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-654-5636",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD17507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Joy Bambas, P.T.A.
• Daiva A Banaitis, PHYSICAL THERAPIST
• Alexis Bansberg, M.A
• Karen Baranick, D.C.
• Barbara Majors LLC (Trellis Counseling)
• Shannon M Barnes, LMT
• Margaret Barnett
• John Barnhill, PHYSICAL THERAPIST
• Jennifer Barren, RN
• Patricia Barrett

• Specialist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.