LEONARD CLARK

PORTLAND, OR
NPI1518226216
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-05-15
Last Update Date2012-05-15
Business Address
Mr. LEONARD CLARK Certified Alcohol &
4134 N. VANCOUVER AVE., SUITE 303C
PORTLAND, OR 97217-2900
Phone number: 503-593-7764
Mailing Address
Mr. LEONARD CLARK Certified Alcohol &
PO BOX 11629 4134 N. VANCOUVER AVE., SUITE 303C
PORTLAND, OR 97217-2900
Phone number: 503-593-7764
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