Individual
TAYLER LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS, CRM
Contact information
Practice address
75 S 5TH ST, COTTAGE GROVE, OR 97424-2008
(541) 767-4218
Mailing address
1345 BIRCH AVE, COTTAGE GROVE, OR 97424-1416
(541) 767-3939
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
109227
OR
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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