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Individual

LESLIE CODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
11481 SW HALL BLVD STE 200, TIGARD, OR 97223-8403
(503) 980-4334
(971) 200-2431
Mailing address
11481 SW HALL BLVD STE 200, PORTLAND, OR 97223-8403
(503) 980-4334
(971) 200-2431

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
05/28/2026
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