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Individual

GAIL H. LESLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
401 E 10TH AVE, SUITE 110, EUGENE, OR 97401-3317
(541) 686-3505
(541) 686-9067
Mailing address
401 E 10TH AVE, SUITE 110, EUGENE, OR 97401-3317
(541) 686-3505
(541) 686-9067

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
20094
OR
237600000X
Audiologist-Hearing Aid Fitter
Primary
20094
OR
237700000X
Hearing Instrument Specialist
HASP038758
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269654
OR
01
325596000001
PROVIDENCE MEDICARE EXTRA
OR
05
416315
OR
01
93109519997401A002
TRICARE/TRIWEST
OR
01
J177301
PACIFICSOURCE
OR
Enumeration date
10/24/2006
Last updated
09/11/2025
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