Individual
DR. JON MONTGOMERY MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8805 STEILACOOM BLVD SW, LAKEWOOD, WA 98498-4770
(253) 756-2319
(253) 756-3911
Mailing address
13925 PAR PL NE, SEATTLE, WA 98125-3054
(206) 367-7290
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD00023282
WA
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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