Healthcare Provider Details

I. General information

NPI: 1740229418
Provider Name (Legal Business Name): JOHN MALCOLM MCBEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 03/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SE COURT PL
PENDLETON OR
97801-3281
US

IV. Provider business mailing address

1600 SE COURT PL
PENDLETON OR
97801-3282
US

V. Phone/Fax

Practice location:
  • Phone: 541-276-1278
  • Fax: 541-276-3726
Mailing address:
  • Phone: 541-276-1278
  • Fax: 541-276-3726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD19107
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberMD19107
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: