Individual
JULIANE LEIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 5TH ST, SUITE 2, BROOKINGS, OR 97415-9702
(541) 469-9205
(541) 469-9204
Mailing address
555 5TH ST, SUITE 2, BROOKINGS, OR 97415-9702
(541) 469-9205
(541) 469-9204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A85512
CA
207R00000X
Internal Medicine Physician
Primary
MDZ3296
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262305
—
OR
01
—
P00224676
RAILROAD
—
Enumeration date
08/01/2006
Last updated
07/08/2007
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