Individual
MRS. MAUREEN MCCLENON SACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
22400 SE STARK ST, GRESHAM, OR 97030-2656
(503) 491-5555
(503) 674-5005
Mailing address
PO BOX 266, UNDERWOOD, WA 98651-0266
(503) 491-5555
(503) 674-5005
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO20023
OR
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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