Individual
LESLIE JAMES CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5228 NE HOYT ST, BLDG B, PORTLAND, OR 97213-3055
(503) 215-6474
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
DO19447
OR
2084P0800X
Psychiatry Physician
Primary
DO19447
OR
Other
Enumeration date
11/28/2006
Last updated
05/09/2011
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