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Contact Information

MATTHEW C MCCLELLAND, MD
18040 SW LOWER BOONES FERRY RD
SUITE 100
TIGARD, OR97224-7258
 Phone: 503-216-0700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MATTHEW C MCCLELLAND · (Male)

NPI Number 1346394954
Status Active
Credentials MD
Entity Individual
Enumeration date 01/22/2007
Last updated 12/14/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD28188
  • OR Medicaid 218648
  • OR Other P00981639 RR MEDICARE
Hospital affiliation(s)
  • PROVIDENCE NEWBERG MEDICAL CENTER - (Acute Care)
    1001 PROVIDENCE DRIVE
    NEWBERG, OR 97132
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
  • PROVIDENCE ST VINCENT MEDICAL CENTER - (Acute Care)
    9205 SW BARNES ROAD
    PORTLAND, OR 97225
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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