Ian Andrew McLane
Counselor, Mental Health in Bend, OR. Individual provider (NPI-1).
NPI number1194354746
StatusActive
Last updated in NPPESApr 6, 2020
Details
- NPI
- 1194354746
- Entity type
- Individual (NPI-1)
- Name
- Ian Andrew McLane
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2020
- Certification date
- Apr 6, 2020
- Last updated
- Apr 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
548 Sw 13th StBend, OR 97702-3184
Phone 541-388-8459
Mailing address
1333 Nw 9th StPrineville, OR 97754-1482
Phone 541-447-2631
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