Mcclish, Joanna L

Mcclish, Joanna L is an sole proprietor health care provider with primary practice located at 5112 Ne Glisan St , Portland OR 97213-2940. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Mcclish, Joanna L can be contacted via phone (503) 309-1333.

Contact Information

Primary practice address
5112 Ne Glisan St Portland OR 97213-2940
Phone: (503) 309-1333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 11778 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT-AT-10141269 Oregon

Profile Details

NPI number 1285690396
LBN Legal business name Mcclish, Joanna L
Credentials ATC, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Oct 22nd, 2012 - about 14 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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