Michael R. Mcclung MD

NPI #1154408151 in Portland, Oregon

Provider Information

NPI Number
1154408151
Entity Type
Organization
Organization Name
Michael R. Mcclung MD
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Nov 1, 2006
Last Updated
Jun 27, 2008

Practice Location

Address
417 SW 117TH AVE
Address 2
STE. 120
State
Oregon
ZIP Code
97225-5924
Phone
(503) 641-7173

Authorized Official

Name
MS. ELIZABETH S. BAILEY
Title
BILLING
Phone
(503) 641-7173

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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