Ian Mclean, DPT | |
2519 Cove Ave, La Grande, OR 97850-3910 | |
(541) 962-0830 | |
Not Available |
Full Name | Ian Mclean |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2519 Cove Ave, La Grande, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265295026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 65172 (Oregon) | Primary |
Provider Name | Mountain Valley Therapy, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659353035 PECOS PAC ID: 9537053079 Enrollment ID: O20040213000395 |
Mailing Address | Practice Location Address |
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Ian Mclean, DPT 2302 E N Ct, La Grande, OR 97850-3858 Ph: (541) 805-1591 | Ian Mclean, DPT 2519 Cove Ave, La Grande, OR 97850-3910 Ph: (541) 962-0830 |
Joanna Hallam, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2519 Cove Ave, La Grande, OR 97850 Phone: 541-962-0830 | |
James Arthur Gorham, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2519 Cove Ave, La Grande, OR 97850 Phone: 541-962-0830 Fax: 541-975-2720 | |
Julia Rae Richard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1437 | |
Mr. James Russell Hottal, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2519 Cove Ave, La Grande, OR 97850 Phone: 541-962-0830 | |
Mr. Benjamin Michael Bertrand, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 4th St, La Grande, OR 97850 Phone: 541-963-9340 Fax: 541-962-4562 | |
Jennifer Sloop Moore, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 610 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1437 | |
Jefferson K Whinery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1437 |