Individual
DR. RYAN J LECLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7105 SW HAMPTON ST, TIGARD, OR 97223-8314
(503) 286-6868
Mailing address
7105 SW HAMPTON ST, TIGARD, OR 97223-8314
(503) 286-6868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10217
OR
Other
Enumeration date
05/21/2015
Last updated
07/18/2015
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