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Individual

JEDIDIAH ANDREW MCCLEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSSW, LCSW

Contact information

Practice address
501 N DIXON ST, PORTLAND, OR 97227
(503) 916-2000
Mailing address
501 N DIXON ST, PORTLAND, OR 97227
(503) 916-2000

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L16066
OR
1041S0200X
School Social Worker
Primary
504436
OR

Other

Enumeration date
08/21/2025
Last updated
08/21/2025
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