Individual
DORIAN MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
30 NE MLK JR BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
9457 N BRISTOL AVE APT 5, PORTLAND, OR 97203-2263
(360) 888-7141
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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