NPI 1013655125

Zachary Austin Xavier McClintock

Practitioner Personal Care Attendant Wilsonville, OR

Practice location

Address: 29197 SW Orleans Ave, Wilsonville, OR 97070-7388
Phone: (503) 427-0185
Mailing address: PO Box 8459, Portland, OR 97207-8459

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1013655125
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 May 2022
Record last updated: 27 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.