NPI 1275025389

Sophia Maclean

Practitioner Military Health Care Provider Portland, OR

Practice location

Address: 11035 NE Sandy Blvd, Portland, OR 97220-2553
Phone: (503) 258-4690
Mailing address: 6525 SE 81st Ave, Portland, OR 97206-7130

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Oregon →

Registry record

NPI: 1275025389
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jun 2018
Record last updated: 4 Jun 2018

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.