Individual
AUSTIN LEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
12700 SW NORTH DAKOTA ST STE 180, TIGARD, OR 97223-0802
(503) 716-8281
Mailing address
12700 SW NORTH DAKOTA ST STE 180, TIGARD, OR 97223-0802
(503) 716-8281
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6382
OR
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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