Maclean, Randall M
Maclean, Randall M is an individual health care provider with primary practice located at 7507 Ne 51St St , Vancouver WA 98662-6007. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Maclean, Randall M can be contacted via phone (360) 906-1190.Contact Information
Primary practice address
7507 Ne 51St St
Vancouver WA 98662-6007
Phone: (360) 906-1190
Fax: (360) 906-1193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L2959 | Oregon |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW00005613 | Washington |
Profile Details
| NPI number | 1629132873 |
|---|---|
| LBN Legal business name | Maclean, Randall M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629132873 | NPPES |
| Oregon | MEDICAID | 164936 |
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