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Individual

DR. BETHANY MICHELLE MCCLENATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9135 SW BARNES RD, SUITE 461, PORTLAND, OR 97225-6646
(503) 216-1150
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
MD167577
OR
2084N0400X
Neurology Physician
110485
AK
2084N0400X
Neurology Physician
36088
MT
2084N0400X
Neurology Physician
A140918
CA
2084N0400X
Neurology Physician
MD167577
OR
2084N0400X
Neurology Physician
MD60518652
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500605528
OR
01
P01522460
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
12/29/2008
Last updated
01/30/2026
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