Individual
DR. DIRK JACOB VAN LEEUWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D., FAASLD
Contact information
Practice address
10000 SE MAIN ST STE 112, PORTLAND, OR 97216-2441
(503) 255-3054
(503) 255-7651
Mailing address
10000 SE MAIN ST STE 112, PORTLAND, OR 97216-2441
(503) 255-3054
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
CP206793
OR
207RG0100X
Gastroenterology Physician
EMERGENT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100220249
—
WI
Enumeration date
08/20/2006
Last updated
02/22/2023
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