Mcclelland, Matthew Charles

Mcclelland, Matthew Charles is an individual health care provider with primary practice located at 18040 Sw Lower Boones Ferry Rd Suite 100, Tigard OR 97224-7258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mcclelland, Matthew Charles can be contacted via phone (503) 216-0700.

Contact Information

Primary practice address
18040 Sw Lower Boones Ferry Rd Suite 100 Tigard OR 97224-7258
Phone: (503) 216-0700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD28188 Oregon

Profile Details

NPI number 1346394954
LBN Legal business name Mcclelland, Matthew Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Dec 14th, 2021 - about 5 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 1346394954 NPPES
Oregon Other P00981639 RR MEDICARE
Oregon MEDICAID 218648 RR MEDICARE

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