Individual
GAIL K MCCLAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 ELMIRA AVE SE, SUITE103, BANDON, OR 97411-7405
(541) 347-2111
(541) 347-1212
Mailing address
PO BOX 393, BANDON, OR 97411-0393
(541) 347-2111
(541) 347-1212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD23131
OR
207R00000X
Internal Medicine Physician
188290
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287386
—
OR
01
—
R13306
MEDICARE PTAN
OR
Enumeration date
12/04/2006
Last updated
09/18/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us