Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LYNETTE SANTOS MALIK, M.D.
ActiveDR. LYNETTE SANTOS MALIK, M.D. is a Sports Medicine (PM&R) healthcare provider located in PORTLAND, Oregon. NPI 1023209897 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · PORTLAND, OR
Registration Details
- NPI Number
- 1023209897
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2007 (19.058051375857 yrs)
- Last Updated
- Nov 13, 2013
- Licenses
-
125053433 (IL)2011033713 (MO)MD163117 (OR)
Practice Information
- Address
-
3600 N INTERSTATE AVEDEPARTMENT OF PHYSICAL MEDICINEPORTLAND, OR, 972271106Browse OR providers · Browse ZIP 97227
- Phone
- 5033313070
- Fax
- 5033313089
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Sports Medicine (PM&R)
Other Sports Medicine (PM&R) Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH CORBETT-FURGAL | — | 1073145447 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.