Individual
BONNIE LYNNE MCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2370 GABLE RD, SAINT HELENS, OR 97051-2913
(503) 366-3828
(503) 397-1424
Mailing address
2370 GABLE RD, SAINT HELENS, OR 97051-2913
(503) 366-3828
(503) 397-1424
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
090006443N5
OR
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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