| Mallory Elizabeth Smith, | |
| 
					9205 Sw Barnes Rd, Portland, OR 97225-6603  | |
| (971) 777-6692 | |
| Not Available | 
| Full Name | Mallory Elizabeth Smith | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 9205 Sw Barnes Rd, Portland, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801422803 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | T9800 (Texas) | Secondary | 
| 207R00000X | Internal Medicine | MD223422 (Oregon) | Primary | 
| Entity Name | Scott & White Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mallory Elizabeth Smith, 9205 Sw Barnes Rd, Portland, OR 97225-6603 Ph: (971) 777-6692  | Mallory Elizabeth Smith, 9205 Sw Barnes Rd, Portland, OR 97225-6603 Ph: (971) 777-6692  | 
Salona Shrestha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392  | |
Dr. Emmanuel Trungtoan Tavan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901  | |
Ginevra Lois Liptan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808  | |
Donald Richard Sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949  | |
Dr. Victor Nguyen Pham, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906  | |
Richa Uppal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1849 Nw Kearney St Ste 200, Portland, OR 97209 Phone: 971-229-4545 Fax: 503-966-2427  | |
Reem Hasan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562  |