Leclerc, Kenneth M
Leclerc, Kenneth M is an individual health care provider with primary practice located at 19250 Sw 65Th Ave, Suite 265 , Tualatin OR 97062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Leclerc, Kenneth M can be contacted via phone (503) 413-7162.Contact Information
Primary practice address
19250 Sw 65Th Ave, Suite 265
Tualatin OR 97062
Phone: (503) 413-7162
Fax: (503) 692-2101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | L4038 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD172293 | Oregon |
Profile Details
| NPI number | 1760483754 |
|---|---|
| LBN Legal business name | Leclerc, Kenneth M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Feb 1st, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760483754 | NPPES |
| Oregon | MEDICAID | 500685619 |
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