Organization
GARY LACLAIR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LECLAIR (PRESIDENT)
(971) 222-7635
Entity
Organization
Contact information
Practice address
4805 NE GLISAN ST STE 2E, PORTLAND, OR 97213-2933
(971) 222-7635
Mailing address
3439 NE SANDY BLVD # 2634, PORTLAND, OR 97232-1959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
OR
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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