CHARLES M MALLOY (DMD) – Prosthodontics, NPI 1831274406

CHARLES M MALLOY (DMD) is a healthcare provider. based in Portland, Oregon. specializing in Prosthodontics. They hold the professional credentials DMD. They hold a License No. D7264 (OR). The NPI Number for CHARLES M MALLOY (DMD) is 1831274406

Main info

Male
Sole Proprietor
Name
CHARLES M MALLOY (DMD)
NPI
1831274406
Phone
(503) 579-8203
Address
13685 SW AERIE DR
Enumeration Date
25 October 2006
Last Update Date
16 July 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for CHARLES M MALLOY (DMD)

  • 13685 SW AERIE DR

    PORTLAND, OR 972232805

    Phone: (503) 579-8203

    Type: Mailing

  • 2730, South Moody Avenue, Lair Hill, South Portland, Portland, Multnomah County, Oregon, 97201, United States

    PORTLAND, OR 972015042

    Phone: (503) 494-4316

    Fax: (503) 494-2365

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97223)

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Reviews

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Frequently asked questions

Is CHARLES M MALLOY (DMD) listed with a National Provider Identifier?
Yes — CHARLES M MALLOY (DMD) has NPI 1831274406 on file in the registry.
Is CHARLES M MALLOY (DMD) shown as active in public data?
Registry records indicate CHARLES M MALLOY (DMD) maintains an active NPI.
What kind of doctor is CHARLES M MALLOY (DMD)?
CHARLES M MALLOY (DMD) is associated with Prosthodontics in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with CHARLES M MALLOY (DMD)?
Directory geography for CHARLES M MALLOY (DMD) centers on Portland, Oregon.
When was this NPI issued?
Enumeration for CHARLES M MALLOY (DMD) is noted as October 25, 2006 where the registry provides it.

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