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Individual

JODY MCCLENNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
507 NE 47TH AVE, PORTLAND, OR 97213-2205
(503) 215-6488
(503) 215-6485
Mailing address
507 NE 47TH AVE, PORTLAND, OR 97213-2205

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9890
OR

Other

Enumeration date
07/14/2026
Last updated
07/14/2026
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