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Individual

LEON ALLEN ASSAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8914
Mailing address
2260 SUMMIT CT, LAKE OSWEGO, OR 97034-3618

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D8246
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
297917
OR
Enumeration date
07/31/2006
Last updated
07/08/2007
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