Michael Mallon
NPI 1194121715 · Medical Physician Assistant · Portland, OR
Provider details
- NPI number
- 1194121715
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA218438 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 2730 S Moody AvePortland, OR 97201-5042Phone: (503) 725-3442
- 3415 Se Powell BlvdPortland, OR 97202-3371Phone: (503) 234-9591
Registry dates
- Enumerated
- 2014-11-10
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.