Mclellan, Bruce A

Mclellan, Bruce A is an individual health care provider with primary practice located at 2500 Ne Neff Rd , Bend OR 97701-6015. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mclellan, Bruce A can be contacted via phone (541) 388-1636.

Contact Information

Primary practice address
2500 Ne Neff Rd Bend OR 97701-6015
Phone: (541) 388-1636
Fax: (541) 388-1719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD15503 Oregon
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD15503 Oregon
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD15503 Oregon

Profile Details

NPI number 1043290398
LBN Legal business name Mclellan, Bruce A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Dec 7th, 2022 - about 4 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 1043290398 NPPES
Oregon MEDICAID 208371

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