Active NPI
Gary Laclair Inc
- Obstetrics & Gynecology Physician
- Portland, OR
National Provider Identifier
1629308838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- GARY LACLAIR INC
- Practice address
- 4805 NE Glisan St Ste 2E
Portland, OR 97213-2933 - Phone
- (971) 222-7635
- NPI assigned
- Jan 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Leclair
- Title
- President
- Phone
- (971) 222-7635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OR | Primary |
Addresses
Primary practice location
4805 NE Glisan St Ste 2E
Portland, OR 97213-2933
Mailing address
3439 NE Sandy Blvd # 2634
Portland, OR 97232-1959
National Provider Directory
National Provider DirectoryLocations
4805 NE Glisan St
Ste 2E
Portland, OR 97213
Phone (971) 222-7635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263168000000",
"number": "1629308838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3439 NE SANDY BLVD # 2634",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 NE GLISAN ST STE 2E",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132933",
"telephone_number": "971-222-7635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY LACLAIR INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-11",
"last_updated": "2010-01-11",
"status": "A",
"authorized_official_last_name": "LECLAIR",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "971-222-7635"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.