Individual
MISS MARY ELIZABETH LEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3800
Mailing address
970 QUAY AVE APT B, GRANDVIEW, OH 43212-3755
(440) 476-0240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201807354NP-PP
OR
Other
Enumeration date
12/01/2018
Last updated
12/01/2018
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