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MR. MICHAEL DEAN MALLON
NPI 1194121715
Physician Assistant - Medical in Portland, OR

Active since November 10, 2014PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-3273(503) 418-2208 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2024, Sep 9, 2021 (2 updates tracked since 2021).

About Mr. Michael Dean Mallon NPPES

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

MR. MICHAEL DEAN MALLON (NPI 1194121715) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA218438) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, is affiliated with Mid-columbia Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194121715
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MICHAEL DEAN MALLON
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-3273 · Fax (503) 418-2208
Phone(503) 494-3273
Fax(503) 418-2208
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2023
Enumeration DateNovember 10, 2014
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1194121715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA218438
Also ListedCounselorTaxonomy 101Y00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13415 SE Powell BlvdPortland, OR 97202-3371 · Phone (503) 234-9591
Location 22730 S Moody AvePortland, OR 97201-5042 · Phone (503) 725-3442

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Dean Mallon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587004825
PECOS Enrollment IDI20240502003611
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mid-Columbia Medical Center

Acute Care Hospitals · The Dalles, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380001
Location1700 E 19th StreetThe Dalles, OR 97058 · Wasco County
Emergency services Birthing friendly

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Adventist Health Portland

Acute Care Hospitals · Portland, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380060
Location10123 SE Market StreetPortland, OR 97216 · Multnomah County
Emergency services Birthing friendly

Samaritan North Lincoln Hospital

Critical Access Hospitals · Lincoln City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381302
Location3043 NE 28th StreetLincoln City, OR 97367 · Lincoln County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Michael Mallon's NPI number?

The NPI number for Michael Mallon is 1194121715. It was assigned to this individual provider in the NPPES registry on November 10, 2014.

Where is Michael Mallon located?

Michael Mallon practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-3273.

What is Michael Mallon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michael Mallon enrolled in Medicare?

Yes. Michael Mallon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Mallon accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Michael Mallon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Mallon affiliated with any hospitals?

According to CMS data, Michael Mallon is affiliated with Mid-Columbia Medical Center, Ohsu Hospital And Clinics, Legacy Good Samaritan Medical Center, Adventist Health Portland and Samaritan North Lincoln Hospital.

When was this NPI record last updated?

The NPPES record for Michael Mallon was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.