Whalio Doctors

NPI 1023209897

Lynette Santos Malik, MD

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Portland, OR

Practice location

Address
3600 N Interstate Ave Department of Physical Medicine, Portland, OR 97227-1106
Phone
(503) 331-3070
Fax
(503) 331-3089

Registered specialties (3)

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence MD163117 (OR)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 125053433 (IL)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 2011033713 (MO)

Registry record

NPI
1023209897
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Aug 2007
Record last updated
13 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.