Loren E Mallory, PHD, ABPP is a medicare enrolled "Clinical Neuropsychologist" provider in Oregon City, Oregon. His current practice location is
619 Madison St Ste 108, Oregon City, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 303-4257.
Loren E Mallory is licensed to practice in Oregon (license number 978) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992853402.
Healthcare Provider's Profile
| Full Name | Loren E Mallory |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 619 Madison St Ste 108, Oregon City, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Loren E Mallory attended and graduated from in
NPI Data:
- NPI Number: 1992853402
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 04/09/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Loren E Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992853402 | NPI | - | NPPES |
| 117227 | Other | | MHN HMC |
| 042544 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 0978 (Oregon) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 978 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Loren E Mallory is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Loren E Mallory, PHD, ABPP
619 Madison St Ste 108,
Oregon City, OR 97045-2354
Ph: (503) 303-4257 | Loren E Mallory, PHD, ABPP
619 Madison St Ste 108,
Oregon City, OR 97045-2354
Ph: (503) 303-4257 |
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