Individual
STEPHEN A MCLENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 WEBBER ST STE 100, THE DALLES, OR 97058-3527
(541) 296-4804
(541) 296-3741
Mailing address
1015 WEBBER ST STE 100, THE DALLES, OR 97058-3527
(541) 296-4804
(541) 296-3741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17484
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033881
—
OR
Enumeration date
11/22/2005
Last updated
12/07/2021
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