Individual
ELIZABETH JOSEPHA MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2300 LANCASTER DR NE, SALEM, OR 97305-1223
(503) 370-4313
Mailing address
1859 STATE ST, SALEM, OR 97301-4344
(503) 999-0496
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3880
OR
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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