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1811939960

NPI Code Detail

MEDICARE: DR. RICHARD MCCLELLAND MD

MEDICARE: DR. RICHARD MCCLELLAND MD

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
1	207P00000X	Emergency Medicine Physician	000-20823	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	168561	OTHER		WA L & I
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	A004	OTHER		CHAMPUS
4	MC4128	OTHER		REGENCE BS
5	E42460	OTHER		GROUP HEALTH
6	910861251	OTHER		PREMERA BC

General Provider Information

NPI Number	:	1811939960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD MCCLELLAND MD

Provider Business Mailing Address
First Line	:	PO BOX 34936
Second Line	:	DEPT 3028
City	:	SEATTLE
State	:	WA
Zip	:	98124-1936
Country	:	US
Telephone Number	:	888-398-2473
Fax Number	:

Provider Business Practice Location Address
First Line	:	21601 76TH AVE W
Second Line	:
City	:	EDMONDS
State	:	WA
Zip	:	98026-7507
Country	:	US
Telephone Number	:	425-640-4100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	08/13/2012

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Directions to “ DR. RICHARD MCCLELLAND MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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