institution
Michael R. Mcclung Md
Medical Specialty Clinic/Center in Portland, Oregon
NPI 1154408151

Michael R. Mcclung Md is a Medical Specialty Clinic/Center based in Portland, OR and is specialized in Medical Specialty. Michael R. Mcclung Md practices in Portland, OR. The NPI Number for Michael R. Mcclung Md is 1154408151 and holds a License No. MD10002 (Oregon).

The current practice location address for Michael R. Mcclung Md is 417 Sw 117Th Ave, Portland, OR and can be reached out via phone at 503-641-7173 and via fax at 503-641-5254. You can also correspond with Michael R. Mcclung Md through the mailing address at 417 SW 117TH AVE, PORTLAND, OR - 97225-5924 (mailing address contact number: 503-641-7173).

Location: 417 Sw 117Th Ave, Portland, OR, 97225-5924
institution
Provider Profile Details
NPI Number
1154408151
Provider Name
Michael R. Mcclung Md
Credential
Provider Entity Type
Organization
Address
417 Sw 117Th Ave, Portland, OR, 97225-5924
Phone Number
503-641-7173
Fax Number
503-641-5254
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0472267 05 OR
institution
Provider Business Practice Location Address Details
Address
417 Sw 117Th Ave
City
State
Zip
97225-5924
Phone Number
503-641-7173
Fax Number
503-641-5254
person
Provider Business Mailing Address Details
Address
417 Sw 117Th Ave
City
State
Zip
97225-5924
Phone Number
503-641-7173
Fax Number
503-641-5254
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
MD10002 (Oregon)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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