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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629132873 NPPES
Oregon MEDICAID 164936

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