Individual
ROBERT DWAINE MCLANE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
942 SW 6TH ST STE G, GRANTS PASS, OR 97526-2900
(541) 472-1799
(541) 472-1699
Mailing address
942 SW 6TH ST STE G, GRANTS PASS, OR 97526-2900
(541) 472-1799
(541) 472-1699
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7848
OR
225700000X
Massage Therapist
4742
OR
Other
Enumeration date
03/11/2009
Last updated
03/12/2009
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