Organization Active NPI

Leclaire Medical

  • Durable Medical Equipment & Medical Supplies
  • Vancouver, WA
National Provider Identifier
1386802817
Registry record updated May 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LECLAIRE MEDICAL
Practice address
1101 NE 65TH St
Vancouver, WA 98665-0219
Phone
(360) 907-2631
Fax
(360) 258-9154
NPI assigned
May 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jarrett Scott Leclaire
Title
Manager
Phone
(360) 907-2631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1101 NE 65TH St
Vancouver, WA 98665-0219

Mailing address

1101 NE 65TH St
Vancouver, WA 98665-0219
Phone (360) 907-2631

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212192000000",
    "number": "1386802817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 NE 65TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650219",
            "telephone_number": "360-907-2631",
            "fax_number": "360-258-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NE 65TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650219",
            "telephone_number": "360-907-2631",
            "fax_number": "360-258-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LECLAIRE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-31",
        "last_updated": "2008-05-31",
        "status": "A",
        "authorized_official_last_name": "LECLAIRE",
        "authorized_official_first_name": "JARRETT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-907-2631"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.