Individual
ERIC JOHN LEITZINGER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 SUNSET DR, ONTARIO, OR 97914-3121
(541) 889-9167
(541) 889-7873
Mailing address
702 SUNSET DR, ONTARIO, OR 97914-3121
(541) 889-9167
(541) 889-7873
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2018
Last updated
01/19/2021
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