AMANDA H MCCLENDON DO
NPI 1376248567
Student in an Organized Health Care Education/Training Program in Milwaukie, OR

Q: What is Amanda Mcclendon's NPI number?

The NPI number for Amanda Mcclendon is 1376248567. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Q: What is Amanda Mcclendon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Mcclendon was last updated on April 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 05, 2023PECOS Enrolled

10330 SE 32ND AVE STE 205, MILWAUKIE, OR 97222(503) 513-8950 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Amanda H Mcclendon Do NPPES

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

AMANDA H MCCLENDON DO (NPI 1376248567) is an individual student in an organized health care education/training program in Milwaukie, Oregon, licensed in Oregon (PG215527) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376248567

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameAMANDA H MCCLENDONCredential: DO

Location Address10330 SE 32ND AVE STE 205Milwaukie, OR 97222-6594

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 513-8950

Sole ProprietorNo

Enumeration DateApril 5, 2023

NPPES CertifiedApril 5, 2023

✔ NPI 1376248567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in OR · PG215527

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10330 SE 32ND AVE STE 205, Milwaukie, OR 97222

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Other Names 1

Other Name (5)Hailey Mcclendon

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda H Mcclendon Do 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.