Individual
DR. LESLIE R MILFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1130 SW MORRISON ST, PORTLAND, OR 97205-2234
(503) 227-4410
(503) 227-6007
Mailing address
1130 SE 73RD AVE, PORTLAND, OR 97215-2229
(503) 253-0526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
OR5611
OR
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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