Individual
MARY MICHELLE MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-2400
Mailing address
138 MONTICELLO DR, LONGVIEW, WA 98632-9522
(469) 585-4458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60762491
WA
Other
Enumeration date
04/23/2014
Last updated
02/04/2022
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