Provider Demographics
NPI:1922523778
Name:MCLEAN, MARLENE MAREE (LMP)
Entity Type:Individual
Prefix:MS
First Name:MARLENE
Middle Name:MAREE
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1719 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-3206
Mailing Address - Country:US
Mailing Address - Phone:509-535-7001
Mailing Address - Fax:
Practice Address - Street 1:1719 E 4TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-3206
Practice Address - Country:US
Practice Address - Phone:509-535-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist