Individual
ROBERT C LEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 338-7525
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DO203454
OR
Other
Enumeration date
10/12/2005
Last updated
02/23/2022
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