Organization
LECLAIRE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRETT SCOTT LECLAIRE (MANAGER)
(360) 907-2631
Entity
Organization
Contact information
Practice address
1101 NE 65TH ST, VANCOUVER, WA 98665-0219
(360) 907-2631
(360) 258-9154
Mailing address
1101 NE 65TH ST, VANCOUVER, WA 98665-0219
(360) 907-2631
(360) 258-9154
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/31/2008
Last updated
05/31/2008
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