Randall J. Mcclellan in Vancouver - Pediatrics
Randall J. Mcclellan - NPI 1215947932
Randall J. Mcclellan is a Pediatrics in Vancouver, Washington. Randall J. Mcclellan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Randall J. Mcclellan is 1215947932. The last update date is 2015-06-08.
Randall J. Mcclellan's current location address is 14406 Ne 20th Ave, Vancouver, Washington. You can contact this provider via phone number 3605713084 and fax number 3605713082. The mailing address for Randall J. Mcclellan is 14406 Ne 20th Ave, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall J. Mcclellan |
|---|---|
| Address | 14406 Ne 20th Ave, Vancouver, Washington |
| Phone Number | 3605713084 |
| Fax Number | 3605713082 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1215947932 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2015-06-08 |
Provider Mailing Address Detail
| Address | 14406 Ne 20th Ave |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986861448 |
| Phone Number | 3605713084 |
| Fax Number | 3605713082 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 152Wp0200X |
| Licence No | 3180AT |
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Definition: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 240203 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Randall J. Mcclellan by the Centers for Medicare & Medicaid Services?
The Randall J. Mcclellan has been assigned the NPI (National Provider Identifier) 1215947932. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Randall J. Mcclellan is geographically located?
The Randall J. Mcclellan is physically situated at the following location: 14406 Ne 20Th Ave, Vancouver, WA, 986861448.
What is the Randall J. Mcclellan's area of specialization and corresponding taxonomy classification?
The Randall J. Mcclellan's specialty field is Pediatrics, and it falls under the taxonomy code 152Wp0200X, which categorizes healthcare providers based on their specialties.
When did Randall J. Mcclellan receive its 1215947932 assignment?
The Randall J. Mcclellan was assigned its 1215947932 on 2006-08-08, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Randall J. Mcclellan most recently updated or revised?
The information pertaining to Randall J. Mcclellan, including its address, specialty, and other relevant details, was last updated or revised on 2015-06-08.