Individual
JONATHAN MCLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7800 SW DURHAM RD, STE 500, TIGARD, OR 97224-7577
(503) 937-0090
(503) 372-5191
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62033
OR
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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