Individual
DR. BRUCE DAVID LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-R; QMPH-R
Contact information
Practice address
6025 SE BELMONT ST, PORTLAND, OR 97215-1927
(503) 783-8557
Mailing address
1134 SW JEFFERSON ST APT 403, PORTLAND, OR 97201-3378
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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