IndividualActive
Michael Mallin, M.D.
NPI 1730330788 · Emergency Medical Services (Emergency Medicine) Physician · Redmond, OR
Provider details
- NPI number
- 1730330788
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7152242-8905 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1253 Nw Canal Blvd
Redmond, OR 97756-1334
Phone: (541) 548-8131
Fax: (541) 460-4028
Approximate (ZIP-level) locationGet directions
Mailing address
1253 Nw Canal Blvd
Redmond, OR 97756-1334
Additional practice locations (1)
- 30 N 1900 ERm 1c026Salt Lake City, UT 84132-0002Phone: (801) 581-2730Fax: (801) 585-0603
Registry dates
- Enumerated
- 2008-10-08
- Last updated
- 2022-11-01
- Certified
- 2022-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.