NPI 1073858213

Joseph F Mallari, LMT

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Beaverton, OR

Practice location

Address: 7340 SW 163rd Pl, Beaverton, OR 97007-6365
Phone: (971) 322-6580

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 19459 (OR)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Oregon →

Registry record

NPI: 1073858213
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2012
Record last updated: 28 Nov 2012

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.