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Contact Information

KEVIN F MALLON, PhD
1925 NW AMBERGLEN PKWY
SUITE 300
HILLSBORO, OR97006-6945
 Phone: 503-906-5019
 Fax: 503-906-5193
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for KEVIN F MALLON · (Male)

NPI Number 1417930009
Status Active
Credentials PhD
Entity Individual
Enumeration date 11/28/2005
Last updated 11/23/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY 13735
  • CA License # PSY13735
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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