MS. Mallory Alyssa Decampos-stairiker, MEDICAL STUDENT is a student in an organized health care education training program in Portland, OR. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MS. Mallory Alyssa Decampos-stairiker, MEDICAL STUDENT NPI is 1679226351. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-8311
The enumeration date for this NPI number is 2/1/2022 and was last updated on 2/1/2022.