Alexandra Mally

Primary specialty

NaturopathTaxonomy code 175F00000X

License

4432 Issued in OR

Practice address

4850 SW Scholls Ferry Rd Ste 108
Portland, OR 97225-1691

Phone

(503) 893-9805

NPI assigned

Oct 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1699447813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 SE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163009",
            "telephone_number": "920-621-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SW SCHOLLS FERRY RD STE 108",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251691",
            "telephone_number": "503-893-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLY",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61230960",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles M Malloy, DMD
• Kyle Andrew Malloy, D.M.D.; M.S.
• Maria Malloy, RDH
• Reece Malloy
• Rionna Malloy
• Bojan Lee Malmin, MD
• Catherine Malmin, CRNA
• Rachel Malmon, MS, CCC-SLP
• Jay Preston Malmquist, DMD
• Betsy Ann Malolepsy

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.