Individual
JAMIE LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
435 NW HARTMANN AVE, SUBLIMITY, OR 97385-9816
(503) 509-1394
Mailing address
435 NW HARTMANN AVE, SUBLIMITY, OR 97385-9816
(503) 509-1394
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
163WC1500X
OR
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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