Individual
DANIELLE RENEE MCCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12605 SE 97TH AVE, CLACKAMAS, OR 97015-9706
(503) 654-7546
Mailing address
12605 SE 97TH AVE, CLACKAMAS, OR 97015-9706
(503) 654-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PG193792
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/04/2018
Last updated
12/07/2023
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