NPI 1164301644

Dyllan E Mabou

Practitioner Technician Klamath Falls, OR

Practice location

Address: 3647 Highway 39, Klamath Falls, OR 97603-2612
Phone: (541) 884-5244

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X

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Registry record

NPI: 1164301644
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2025
Record last updated: 29 Aug 2025

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.