Individual
JOSEPH HAROLD MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 NW LOVEJOY ST STE 622, PORTLAND, OR 97210-5104
(503) 229-8455
(503) 229-7028
Mailing address
847 NE 19TH AVE STE 300, PORTLAND, OR 97232-2686
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD196883
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046324
—
WA
05
—
500688656
—
OR
Enumeration date
04/10/2015
Last updated
11/17/2021
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