Individual
MRS. LEAH BJORNSKOV WESSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239
(503) 494-7859
(503) 494-4447
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-7859
(503) 494-4447
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200440200RN
OR
363LF0000X
Family Nurse Practitioner
Primary
200850086NP
OR
Other
Enumeration date
08/15/2007
Last updated
06/29/2018
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