Individual
IZZY LEFEBVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 NE 68TH AVE, PORTLAND, OR 97213-4957
(503) 988-5625
Mailing address
1401 NE 68TH AVE, PORTLAND, OR 97213-4957
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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