MR. HAROLD EDWARD MCLEAN (NPI# 1316272578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316272578 |
Entity Type | Individual |
Full Name | MR. HAROLD EDWARD MCLEAN |
Credential | PA |
Practice Address |
3405 Deer Park Dr Se Oregon State Correctional Institute Salem OR 97310-9302 |
Practice Telephone | 5033730168 |
Mailing Telephone | 5033730168 |
Enumeration Date | 2009-10-06 |
Last Update Date | 2009-10-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0244 | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3405 DEER PARK DR SE OREGON STATE CORRECTIONAL INSTITUTE |
City | SALEM |
State | OR |
Zip Code | 97310-9302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447395710 | Michael Puerini | Family Medicine | 3405 Deer Park Dr Se, Salem, OR 97310-9302 | 2007-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740378850 | Susan Owre Gelberg | Psychologist | 2605 State Street, Oregon State Penitentiary, Salem, OR 97310 | 2006-10-11 |
1023595899 | Gregory Lee Miller | Dentist | 3405 Derr Park Rd Se, Salem, OR 97310-0001 | 2018-07-25 |
1417361312 | Multi-cultural Consultants, Ltd | Community/Behavioral Health | Freedom & Recovery Program, 3405 Deer Park Dr. Se, Salem, OR 97310-0001 | 2014-06-18 |
1013329911 | Ricardo Olalde | Counselor | Freedom & Recovery Program A D Program, 3405 Deer Park Dr. Se, Salem, OR 97310-0001 | 2014-05-27 |
1215142294 | Donald Dravis | Psychiatry & Neurology | Oregon State Penitentiary, 2605 State Street, Salem, OR 97310-0001 | 2007-05-11 |
1861605768 | Barbara S Miller | Nurse Practitioner | Odoc, 2605 State St, Salem, OR 97310-0001 | 2007-05-07 |
1881819563 | Daryl Spencer Ruthven | Psychiatry & Neurology | 2575 Center St Ne, Counseling & Treatment Services, Salem, OR 97310-0001 | 2007-04-16 |
1538495734 | Ole Hansen | Family Medicine | 2605 State St, Salem, OR 97310-1346 | 2009-10-22 |
1083263529 | David Brown | Student in an Organized Health Care Education/Training Program | 2605 State St, Salem, OR 97310-1346 | 2019-09-07 |
1831466051 | Pamela Rae Ward | Counselor | 2605 State St, Salem, OR 97310-1346 | 2011-11-17 |
Find all providers in zip 97310 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
1639614852 | Gregory Bull | Physician Assistant | 622 Fernwood Dr, Salem, VA 24153-2654 | 2016-12-24 |
1841648862 | Theron J Wiese | Physician Assistant | 1395 Commercial St Se, Salem, OR 97302-4205 | 2016-05-31 |
1922329697 | Charleen Ann Thorburn | Physician Assistant | 22 Keewaydin Dr, Salem, NH 03079-2839 | 2010-06-17 |
1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
1215912712 | Amy Gouley | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2005-12-07 |
1306827100 | William Earle Williams | Physician Assistant | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2005-11-08 |
1700485224 | Roderick Mao | Physician Assistant | 159 N Broadway, Salem, NH 03079-2136 | 2020-10-26 |
1447719752 | Christine Nicole Jeffries | Physician Assistant | 360 Church St Se, Salem, OR 97301-3796 | 2019-03-16 |
1265999338 | Brolin Johnson | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2019-02-26 |
Find all providers in SALEM |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.