person
Sophia Maclean
Military Health Care Provider in Portland, Oregon
NPI 1275025389

Sophia Maclean is a Military Health Care Provider based in Portland, OR. Sophia Maclean practices in Portland, OR. The NPI Number for Sophia Maclean is 1275025389 and holds a License No. (Oregon).

The current practice location address for Sophia Maclean is 11035 Ne Sandy Blvd, Portland, OR and can be reached out via phone at 503-258-4690.

Location: 11035 Ne Sandy Blvd, Portland, OR, 97206-7130
person
Provider Profile Details
NPI Number
1275025389
Provider Name
Sophia Maclean
Credential
Provider Entity Type
Individual
Gender
Female
Address
11035 Ne Sandy Blvd, Portland, OR, 97206-7130
Phone Number
503-258-4690
Fax Number
Provider Enumeration Date
06/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11035 Ne Sandy Blvd
City
State
Zip
97220-2553
Phone Number
503-258-4690
Fax Number
person
Provider Business Mailing Address Details
Address
11035 Ne Sandy Blvd
City
State
Zip
97220-2553
Phone Number
503-258-4690
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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