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Individual

CATHARINE M MCLEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
12345 SW HORIZON BLVD STE 57, BEAVERTON, OR 97007-9475
(503) 216-8820
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0005066
CO
363A00000X
Physician Assistant
Primary
PA207444
OR
363AM0700X
Medical Physician Assistant

Other

Enumeration date
05/17/2017
Last updated
06/09/2023
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