Ray A Mcclanahan DPM

NPI 1124116231 - Podiatrist - 213E00000X

NPI Details
NPI 1124116231
Gender Male
Enumeration Date 10/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
725 NW 19TH AVE
PORTLAND OR, 97209, US
Phone (503) 243-2699
Fax (503) 243-2698
Business Location
725 NW 19TH AVE
PORTLAND OR, 97209, US
Phone (503) 243-2699
Fax (503) 243-2698
Toxanomy
Taxonomy Code 213E00000X
License State Washington
License Number PO00000596
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According to our database, Ray A Mcclanahan DPM NPI is 1124116231, taxonomy code is 213E00000X and license number is PO00000596, license state is located at Washington. Ray A Mcclanahan DPM physically located at 725 Nw 19th Ave, Portland OR, 97209. NPI Number Ray A Mcclanahan DPM has the Individual type.

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1124116231 NPI number is provided on an as is basis without warranty of any kind. 1124116231 is maintained by the National Plan & Provider Enumeration System. The contents of Ray A Mcclanahan DPM are for informational purposes only.