Elizabeth Josepha McClellan, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H3880 Issued in OR

Practice address

2300 Lancaster Dr NE
Salem, OR 97305-1223

Phone

(503) 370-4313

NPI assigned

Sep 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: elizabeth.mcclellan.p1@direct.nwhumanservices.nextgenshare.com

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205938925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014344",
            "telephone_number": "503-999-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051223",
            "telephone_number": "503-370-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "ELIZABETH",
        "middle_name": "JOSEPHA",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H3880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly McCarty, CRM
• Alyssa Juliana McClain, DENTAL HYGENIST
• Christine Standahl McClain, M.D.
• Jena McClain, BSN-RN
• Karissa McClanahan
• Ian McClellan, PHARMD
• Scott Michael McClintic, M.D.
• Suzanne McClintick, MD
• Georgia Sarah McClorey
• Emily McCloud-Blackburn

• Dental Hygienist in Salem, OR
• Providers in Salem, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.