Mallory Fillmore, PA-C

NPI #1215272505 in Corvallis, Oregon

Provider Information

NPI Number: 1215272505
Entity Type: Individual
Name: Mallory Fillmore, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 28, 2012
Last Updated: Dec 30, 2024

Practice Location

Address: 3680 NW SAMARITAN DR
City: Corvallis
State: Oregon
ZIP Code: 97330-3737
Phone: (541) 754-1150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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