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KEVIN JAMES MALLOY
NPI 1184259137
Peer Specialist in Corvallis, OR

Active since March 10, 2020
456 SW MONROE AVE, CORVALLIS, OR 97333(541) 791-3411 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin James Malloy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN JAMES MALLOY (NPI 1184259137) is an individual peer specialist in Corvallis, Oregon and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1184259137
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKEVIN JAMES MALLOY
Location Address456 SW MONROE AVECorvallis, OR 97333-4781
Mailing Address456 Sw Monroe AveCorvallis, OR 97333-4781 · (541) 791-3411
Phone(541) 791-3411
Sole ProprietorNo
Enumeration DateMarch 10, 2020
NPPES CertifiedMarch 10, 2020
✔ NPI 1184259137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
456 SW MONROE AVE, Corvallis, OR 97333
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOLACE CARE MEDICAL MASSAGE CLINIC, LLC
Mechanotherapist
456 SW MONROE AVE, 104
CORVALLIS, OR 97333
Benton County (541) 602-5678
HOLLY SUE KING
Peer Specialist
456 SW MONROE AVE
CORVALLIS, OR 97333
Benton County (541) 791-3411
KARLEY MARIE YEARIAN
Peer Specialist
456 SW MONROE AVE
CORVALLIS, OR 97333
Benton County (541) 791-3411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Malloy's NPI number?

The NPI number for Kevin Malloy is 1184259137. It was assigned to this individual provider in the NPPES registry on March 10, 2020.

Where is Kevin Malloy located?

Kevin Malloy practices at 456 SW Monroe Ave, Corvallis, OR 97333. The listed phone number is (541) 791-3411.

What is Kevin Malloy's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kevin Malloy was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.