Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Kennedy

Individual provider Pediatric Occupational Therapist · NPI 1205192283

Mallory Kennedy is a Pediatric Occupational Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2012

Practice location Address checks out

4216 NE 24th Ave
Portland, OR 97211-6414
Phone: (845) 893-7389
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 233754 (OR)

Record details

NPI number1205192283
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 4, 2012
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024

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