Eric P Mallory, MD, ND, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC154596 Issued in OR

Practice address

745 NW Mt Washinton Drive
Suite 104
Bend, OR 97703

Phone

(541) 639-3494

Fax

(541) 306-3237

NPI assigned

May 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1659690329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 NW MT WASHINGTON DR STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031574",
            "telephone_number": "541-639-3494",
            "fax_number": "541-306-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NW MT WASHINTON DRIVE",
            "address_2": "SUITE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-639-3494",
            "fax_number": "541-306-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "ERIC",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD, ND, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC154596",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "3079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Makris
• Anna Maldonado
• Julio Cesar Maldonado
• Grace Malkusak, MSW, MS
• Charles Robert Malley, CADC I
• Annika Malmberg, M.D.
• Douglas Bryan Malone, P.T.
• Kathleen Malone, M.S. CCC-SLP
• Timothy Patrick Malone, LCSW
• Nancy Maloney, M.D.

• Acupuncturist in Bend, OR
• Providers in Bend, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.