Individual
MR. IAN ANDREW MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
30900 SW PARKWAY AVE, WILSONVILLE, OR 97070
(503) 682-2840
(503) 682-2869
Mailing address
4560 SE INTERNATIONAL WAY, STE 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05040
OR
225100000X
Physical Therapist
5040
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023259
—
OR
Enumeration date
11/15/2005
Last updated
01/16/2014
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