DR. JENNY LARA SEMADENI MALCOM MD NPI 1710120845

NPI Information

  • NPI: 1710120845
  • Provider Name: DR. JENNY LARA SEMADENI MALCOM, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 24988 SE STARK ST
    SUITE 200
    GRESHAM, OR
    ZIP 97030
  • Phone: (503) 667-8878

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NPI Details

DR. Jenny Lara Semadeni Malcom, MD is a pediatrics in Gresham, OR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Jenny Lara Semadeni Malcom, MD NPI is 1710120845. 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:

24988 SE STARK ST
SUITE 200
GRESHAM, OR
ZIP 97030-322
Phone: (503) 667-8878

The enumeration date for this NPI number is 4/20/2009 and was last updated on 9/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsMD157635OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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