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NPI Code Detail

MEDICARE: CHRISTINA MCCLORY RN

MEDICARE: CHRISTINA MCCLORY RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse201141498OR

General Provider Information

NPI Number : 1144696915
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MCCLORY RN
Provider Business Mailing Address
First Line : 2051 KAEN RD
Second Line : SUITE 367
City : OREGON CITY
State : OR
Zip : 97045-4035
Country : US
Telephone Number : 503-742-5300
Fax Number : 503-742-5979
Provider Business Practice Location Address
First Line : 37400 BELL ST
Second Line :
City : SANDY
State : OR
Zip : 97055-7868
Country : US
Telephone Number : 503-668-3483
Fax Number : 503-668-1892
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2015
Last Update Date : 08/17/2015

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