Dr. Kevin Frederick Mallon
Health Psychologist Clinical Psychologist
1925 Nw Amberglen Pkwy Suite 300
Hillsboro
, Oregon 97006-6945
Dr. Kevin Frederick Mallon
Health Psychologist Clinical Psychologist
1925 Nw Amberglen Pkwy Suite 300
Hillsboro
, Oregon 97006-6945
(503) 906-5193
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About
Features
Specialties
- Clinical Psychologist
- Health Psychologist
Languages spoken
- English
Location
First Address
- Dr. Kevin Frederick Mallon
- Po Box 1034 (portland Vamc - Hills Cboc)
- Portland, OR
- Zip : 97207-1034
- Fax : (503) 906-5193
- Phone : (503) 906-5019
Second Address
- Dr. Kevin Frederick Mallon
- 1925 Nw Amberglen Pkwy Suite 300
- Hillsboro, OR
- Zip : 97006-6945
- Fax : (503) 906-5193
- Phone : (503) 906-5019
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | PSY13735 | CA |
| N | 103TC0700X | Clinical Psychologist | PSY13735 | CA |
| N | 103G00000X | Clinical Psychologist | PSY13735 | CA |
| N | 103TC0700X | Clinical Psychologist | PSY13735 | CA |
| Y | 103TH0004X | Health Psychologist | PSY 13735 | CA |
National Provider Identifier
| NPI | 1417930009 |
|---|---|
| Provider Name | Dr. Kevin Frederick Mallon |
| First Address | Portland, OR 97207-1034 |
| Second Address | Hillsboro, OR 97006-6945 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2005 |
| Last Update Date | 23/11/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.