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NPI Code Detail

MEDICARE: JANELLE PINKNEY MCLEOD PHMNP

MEDICARE: JANELLE PINKNEY MCLEOD PHMNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner079043563N6OR

General Provider Information

NPI Number : 1043288871
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE PINKNEY MCLEOD PHMNP
Provider Business Mailing Address
First Line : 2051 KAEN RD
Second Line : SUITE 398
City : OREGON CITY
State : OR
Zip : 97045-4088
Country : US
Telephone Number : 503-742-5300
Fax Number : 503-742-5301
Provider Business Practice Location Address
First Line : 1425 BEAVERCREEK RD
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-4076
Country : US
Telephone Number : 503-722-6577
Fax Number : 503-655-8595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 03/14/2013

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