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MALLORI R WOODALL
NPI 1477441855
Student in an Organized Health Care Education/Training Program in Medford, OR

Active since June 25, 2025
815 BENNETT AVE, MEDFORD, OR 97504(541) 423-2667 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallori R Woodall NPPES

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

MALLORI R WOODALL (NPI 1477441855) is an individual student in an organized health care education/training program in Medford, Oregon and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1477441855
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMALLORI R WOODALL
Location Address815 BENNETT AVEMedford, OR 97504-6715
Mailing Address1810 Corona AveMedford, OR 97504-5218 · (541) 218-0677
Phone(541) 423-2667
Sole ProprietorYes
Enumeration DateJune 25, 2025
NPPES CertifiedJune 25, 2025
✔ NPI 1477441855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
815 BENNETT AVE, Medford, OR 97504
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Other Providers at the Same Location NPPES 8

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

KRYSTAL MCQUADE
Peer Specialist
815 BENNETT AVE
MEDFORD, OR 97504
Jackson County (541) 423-2667
LORENA NORMAN MSW, CSWA
Social Worker (Clinical)
815 BENNETT AVE
MEDFORD, OR 97504
Jackson County (385) 432-5168
LORRIN PENNER
Student in an Organized Health Care Education/Training Program
815 BENNETT AVE
MEDFORD, OR 97504
Jackson County (541) 426-2667
MADISON SASH
Counselor (Mental Health)
815 BENNETT AVE
MEDFORD, OR 97504
Jackson County (541) 423-2667
EMILY LOUISE SHAW
Social Worker (Clinical)
815 BENNETT AVE
MEDFORD, OR 97504
Jackson County (541) 423-2667
MAPLE COUVRETTE
Counselor (Mental Health)
815 BENNETT AVE
MEDFORD, OR 97504
Jackson County (541) 423-2667
LEIGH MORTON
Student in an Organized Health Care Education/Training Program
815 BENNETT AVE
MEDFORD, OR 97504
Jackson County (541) 423-2667
HOUSE OF HEALING OREGON LLC
Marriage & Family Therapist
815 BENNETT AVE
MEDFORD, OR 97504
Jackson County (541) 414-4026

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 Mallori Woodall's NPI number?

The NPI number for Mallori Woodall is 1477441855. It was assigned to this individual provider in the NPPES registry on June 25, 2025.

Where is Mallori Woodall located?

Mallori Woodall practices at 815 Bennett Ave, Medford, OR 97504. The listed phone number is (541) 423-2667.

What is Mallori Woodall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mallori Woodall was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.