Barbara S Mallett, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD17507 Issued in OR

Practice address

19260 SW 65TH Ave
Suite 280
Tualatin, OR 97062-5701

Phone

(971) 244-8711

Fax

(971) 200-2400

NPI assigned

Jul 27, 2006

Last updated

Jul 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barbara S Mallett,MD PC

  • Specialist
  • Milwaukie, OR
  • NPI 1184049918
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405728000000",
    "number": "1457375719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE",
            "address_2": "SUITE 280",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625701",
            "telephone_number": "971-244-8711",
            "fax_number": "971-200-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE",
            "address_2": "SUITE 280",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625701",
            "telephone_number": "971-244-8711",
            "fax_number": "971-200-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETT",
        "first_name": "BARBARA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD17507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00473073",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haleigh Magdelain
• Brian Robert Mahon, MD
• Audra Diana Mahoney
• Lisa East Mai
• Jonathan Salgado Maldonado
• Carol B. Markovics, PH.D.
• Jams Ansel Markovics, PH.D,
• Joseph Marquardt, D.O.
• Cynthia Marquess, P.T.
• Marquis Companies II, Inc (Marquis Tualatin Post Acute Rehab)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.