Individual
MR. LEEROY ALLEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(505) 595-6761
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10007207
OR
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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