Michael R. McClung MD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD10002 Issued in OR

Legal business name

MICHAEL R. MCCLUNG MD

Practice address

417 SW 117TH Ave
Ste. 120
Portland, OR 97225-5924

Phone

(503) 641-7173

Fax

(503) 641-5254

NPI assigned

Nov 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Elizabeth S. Bailey

Title

Billing

Phone

(503) 641-7173

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Endocrine And Osteoporosis Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael R. McClung, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Portland, OR
  • NPI 1477580207
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1154408151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SW 117TH AVE",
            "address_2": "STE. 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255924",
            "telephone_number": "503-641-7173",
            "fax_number": "503-641-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SW 117TH AVE",
            "address_2": "STE. 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255924",
            "telephone_number": "503-641-7173",
            "fax_number": "503-641-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. MCCLUNG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "503-641-7173",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "MD10002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0472267",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrine And Osteoporosis Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael D. Mellum, DMD PC
• Michael E. Davis DMD, PC
• Michael F. Bohley, M.D.,P.C.
• Michael P Naughton DMD PC
• Michael P. Naughton, DMD, PC
• Michael Sean Stanley, LLC
• Michael Yaremko Dmdpc
• Michael Yu DC LLC
• Angela Yoshimi Michael
• James Michael, B.A.

• Medical Specialty Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.