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DR. ERIC B MCCLELLAN MD
NPI 1184912784
Pediatrics - Pediatric Critical Care Medicine in Portland, OR

Active since July 16, 2011PECOS Enrolled
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 418-5800(503) 494-4951 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2022, Sep 12, 2019, Jun 22, 2016 (3 updates tracked since 2016).

About Dr. Eric B Mcclellan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC B MCCLELLAN MD (NPI 1184912784) is an individual pediatric critical care medicine provider in Portland, Oregon, licensed in Oregon (MD210288) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1184912784
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. ERIC B MCCLELLANCredential: MD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 418-5800 · Fax (503) 494-4951
Phone(503) 418-5800
Fax(503) 494-4951
Sole ProprietorNo
Enumeration DateJuly 16, 2011
Last NPPES UpdateJuly 12, 20223 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1184912784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in OR · MD210288
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License MD210288 (OR), 4301117244 (MI)
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License MD210288 (OR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301117244 (MI)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Secondary Practice Location 1

Location 11540 E Hospital DrAnn Arbor, MI 48109-4000 · Phone (734) 936-4038

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric B Mcclellan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Mcclellan's NPI number?

The NPI number for Eric Mcclellan is 1184912784. It was assigned to this individual provider in the NPPES registry on July 16, 2011.

Where is Eric Mcclellan located?

Eric Mcclellan practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 418-5800.

What is Eric Mcclellan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Eric Mcclellan enrolled in Medicare?

Yes. Eric Mcclellan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eric Mcclellan was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.