Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY KENNEDY
Active Sole ProprietorMALLORY KENNEDY is a Pediatric Occupational Therapist healthcare provider located in PORTLAND, Oregon. NPI 1205192283 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · PORTLAND, OR
Registration Details
- NPI Number
- 1205192283
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 4, 2012 (14.392460493883 yrs)
- Last Updated
- Apr 11, 2024
- License
-
233754 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4216 NE 24TH AVEPORTLAND, OR, 972116414Browse OR providers · Browse ZIP 97211
- Phone
- 8458937389
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. LORETTA GIMSE | OTR | 1639130743 |
| NANCY ANN BROWN | OTR/MA | 1083728216 |
| REBECCA ANNE PETERSON | OT | 1699872473 |
| MICHAELA A KISTLER | OT | 1912037110 |
| DIEDRA M PINE | MOT | 1942321104 |
| KRISTY K MCFARLAND | MOT, OTRL | 1013112416 |
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.