Individual
DR. KEN RONALD MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1232 UNIVERSITY OF OREGON, EUGENE, OR 97403-1205
(541) 346-2751
Mailing address
1232 UNIVERSITY OF OREGON, EUGENE, OR 97403-1205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20555
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150484
—
OR
Enumeration date
01/19/2007
Last updated
07/08/2007
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