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Individual

DR. LINDA ANN MCCLELLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO PHD

Contact information

Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503
(541) 826-2111
(713) 627-7302

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
00116224
MO
2084P0800X
Psychiatry Physician
531087
KS
2084P0800X
Psychiatry Physician
Primary
M7487
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200310260A
KS
Enumeration date
10/11/2005
Last updated
06/27/2023
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