Individual
THEODORE JAMES MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1250
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1250
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207P00000X
Emergency Medicine Physician
Primary
0101280156
VA
Other
Enumeration date
03/07/2022
Last updated
08/07/2025
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