Individual
DR. ANNE MARIE MCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
OP61021487
WA
2085R0202X
Diagnostic Radiology Physician
Primary
OP61021487
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
MARICOPA MEDICAL CENTER
AZ
01
—
1487814240
PHOENIX CHILDRENS HOSPITAL
AZ
01
—
20A13435
MEDICAL STATE LICENSE
CA
05
—
2157392
—
WA
Enumeration date
01/07/2010
Last updated
06/25/2021
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