Individual
DR. JESSE PAUL MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2366 EASTLAKE AVE E, SUITE 428, SEATTLE, WA 98102-3366
(206) 402-3375
Mailing address
2150 N 107TH ST STE 400, SEATTLE, WA 98133-9009
(206) 402-3375
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60133295
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002885
RESIDENCY TRAINING PERMIT
GA
Enumeration date
01/15/2008
Last updated
07/28/2022
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