Robert W Mclellarn, Phd

NPI 1174813539 - Psychologist - 103TB0200X

NPI Details
NPI 1174813539
Enumeration Date 04/19/2011
Last Updated 04/03/2015
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ROBERT WILLIAM ROBERT
Position DIRECTOR
Phone (971) 645-0033
Fax (503) 297-5744
Practice Location
5440 SW WESTGATE DRIVE
SUITE 175
PORTLAND OR, 97221, US
Phone (971) 645-0033
Fax (503) 297-5744
Business Location
5440 SW WESTGATE DRIVE
SUITE 175
PORTLAND OR, 97221, US
Phone (971) 645-0033
Fax (503) 297-5744
Toxanomy
Taxonomy Code 103TB0200X
License State Oregon
License Number 634
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According to our database, Robert W Mclellarn, Phd NPI is 1174813539, taxonomy code is 103TB0200X and license number is 634, license state is located at Oregon. Robert W Mclellarn, Phd physically located at 5440 Sw Westgate Drive, Portland OR, 97221. NPI Number 1033115704 has the healthcare provider type.

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1174813539 NPI number is provided on an as is basis without warranty of any kind. 1174813539 is maintained by the National Plan & Provider Enumeration System. The contents of Robert W Mclellarn, Phd are for informational purposes only.