Individual
PRISCILLA D LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2222 NW LOVEJOY ST, STE 505, PORTLAND, OR 97210-3033
(503) 226-4091
(503) 226-3539
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD22053
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0288292
—
OR
Enumeration date
03/14/2006
Last updated
04/17/2023
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