Individual
JACOB F LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 NW HOYT ST APT 1001, PORTLAND, OR 97209-2285
(541) 216-6068
Mailing address
1819 SW 5TH AVE, PMB 382, PORTLAND, OR 97201
(503) 673-2496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
01/31/2026
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