Individual
MR. MICHAEL SCOTT LEFORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
7825 NE 130TH AVE, VANCOUVER, WA 98682-3316
(360) 604-3400
Mailing address
2243 NW TANNER ST, CAMAS, WA 98607-7410
(360) 833-2836
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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