Provider Demographics
NPI:1952341679
Name:MCCLENAHAN, RICHARD F (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:F
Last Name:MCCLENAHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:709 W ORCHARD DR
Mailing Address - Street 2:SUITE #4
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1766
Mailing Address - Country:US
Mailing Address - Phone:360-318-8800
Mailing Address - Fax:360-318-1085
Practice Address - Street 1:3015 SQUALICUM PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1945
Practice Address - Country:US
Practice Address - Phone:360-733-7974
Practice Address - Fax:360-676-2567
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00023834207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1230028Medicaid
WA0130093OtherLABOR & INDUSTRIES (REG)
WA8925039OtherLABOR & INDUSTRIES (CV)
WA080148602OtherRAILROAD MEDICARE
WA423898038OtherGROUP HEALTH COOPERATIVE
WA36018OtherREGENCE BLUESHIELD
WA1230028Medicaid
WAA07621Medicare UPIN