Mcclung, Michael R.

Mcclung, Michael R. is an sole proprietor health care provider with primary practice located at 5050 Ne Hoyt St Suite 651, Portland OR 97213-2991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Mcclung, Michael R. can be contacted via phone (503) 215-6586.

Contact Information

Primary practice address
5050 Ne Hoyt St Suite 651 Portland OR 97213-2991
Phone: (503) 215-6586
Fax: (503) 215-6428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD10002 Oregon

Profile Details

NPI number 1477580207
LBN Legal business name Mcclung, Michael R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Oct 18th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477580207 NPPES
Oregon MEDICAID 042267

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