Individual
LESLIE CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5050 NE HOYT ST STE 117, PORTLAND, OR 97213-2955
(503) 215-1874
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200650146NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212979
—
OR
Enumeration date
10/18/2006
Last updated
10/27/2023
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