Individual
CLARA D. MCCLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2965 NE CONNERS AVE, STE 280, BEND, OR 97701-7753
(541) 323-4269
Mailing address
375 NW BEAVER ST, SUITE 101, PRINEVILLE, OR 97754-1802
(541) 447-0707
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
368326-3502
UT
1041C0700X
Clinical Social Worker
Primary
L6358
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500679568
—
OR
Enumeration date
07/02/2009
Last updated
05/06/2015
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