Individual
SCOT R MACLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3434 SW KELLY AVE, PORTLAND, OR 97239-4630
(503) 816-5836
Mailing address
3434 SW KELLY AVE, PORTLAND, OR 97239-4630
(503) 816-5836
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD26044
OR
Other
Enumeration date
07/05/2006
Last updated
08/25/2010
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