JACOB F LECLAIR

PORTLAND, OR
NPI1114669611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-04-13
Last Update Date2026-06-12
Business Address
JACOB F LECLAIR
1427 SE 182ND AVE
PORTLAND, OR 97233-5008
Phone number: 503-761-6006
Mailing Address
JACOB F LECLAIR
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-673-2496
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