Kevin James Malloy

NPI #1184259137 in Corvallis, Oregon

Provider Information

NPI Number: 1184259137
Entity Type: Individual
Name: Kevin James Malloy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Mar 10, 2020
Last Updated: Mar 10, 2020

Practice Location

Address: 456 SW MONROE AVE
City: Corvallis
State: Oregon
ZIP Code: 97333-4781
Phone: (541) 791-3411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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