Mallory & White PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

978 Issued in OR

Legal business name

MALLORY & WHITE PC

Doing business as

Willamette Falls Neuropsychology

Practice address

619 Madison St Ste 108
Oregon City, OR 97045-2354

Phone

(503) 303-4257

NPI assigned

Apr 9, 2018

Organization subpart

No

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

Authorized official

Name

Loren Mallory, PHD, ABPP

Title

Provider

Phone

(503) 303-4257

Specialties & licenses 1

Addresses

Other names 1

• Willamette Falls Neuropsychology Doing business as

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1679070437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 MADISON ST STE 108",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452354",
            "telephone_number": "503-303-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 MADISON ST STE 108",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452354",
            "telephone_number": "503-303-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY & WHITE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "503-303-4257",
        "authorized_official_credential": "PHD, ABPP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willamette Falls Neuropsychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Maddox
• Brandy Jolene Maestas, CRM
• Magdalenne Corso, MD LLC
• Karl Magsarili, M.D.
• Polly Maliongas, DIPL. OM, LAC
• Loren E Mallory, PHD, ABPP
• Tracy Mandel, MA, LPC, ATR
• Janet G. Mann, RDN
• Ashley Manning
• Britney E Manning

• Clinic/Center in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.