| Doctor Name: | MICHAEL HENRY MAHLMAN |
| NPI Number: | 1033170188 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M. ED |
| License Number: | |
| Business Practice Address: | 36 Sw Nye St Newport, OR - 973653821 |
| Business Phone Number: | 5412656611 |
| Business Fax Number: | 5412654945 |
| Mailing Address: | 36 Sw Nye St, NEWPORT |
| State: | OR |
| Postal Code: | 973653821 |
| Phone Number: | 5412656611 |
| Fax Number: | 5412654945 |
| NPI Enumeration Date: | 03/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |