JEAN-CLAUDE KLEBER PROVOST

PORTLAND, OR
NPI1578518080
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  200350102NP FNP-PP)
Enumeration Date2006-05-23
Last Update Date2021-12-07
Business Address
Mr. JEAN-CLAUDE KLEBER PROVOST FNP-C
5100 S MACADAM AVE STE 200
PORTLAND, OR 97239-3827
Phone number: 971-202-5500
Mailing Address
Mr. JEAN-CLAUDE KLEBER PROVOST FNP-C
5100 S MACADAM AVE STE 200
PORTLAND, OR 97239-3827
Phone number: 971-202-5500
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