Individual provider · Type 1 NPI
Kenneth M. Leclerc, MD
Cardiovascular Disease Physician · Tualatin, OR
NPI number
1760483754
Active
Practice location
19250 SW 65th Ave, Suite 265
Tualatin, OR 97062
Fax (503) 692-2101
Mailing address
PO Box 3777
Portland, OR 97208-3777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | L4038 (TX) |
| Cardiovascular Disease Physician Primary | 207RC0000X | MD172293 (OR) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Other cardiovascular disease physician providers in Tualatin
About NPI 1760483754
Kenneth M. Leclerc, MD's National Provider Identifier is 1760483754, issued on Aug 2, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Tualatin, OR. The record was last updated on Feb 1, 2017.