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Contact Information

ROBERT W MCLELLARN, PHD
5440 SW WESTGATE DRIVE
SUITE 175
PORTLAND, OR97221
 Phone: 971-645-0033
 Fax: 503-297-5744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROBERT W MCLELLARN, PHD

NPI Number 1174813539
LBN Legal business name ROBERT W MCLELLARN, PHD
Authorized official ROBERT MCLELLARN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2011
Last updated 04/03/2015 - About 11 years ago
Identifiers
OR License # 634
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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