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Individual

VERONICA LEGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3314 SW US VETERANS HOSPITAL RD, PP262, PORTLAND, OR 97239-2940
(503) 494-8490
(503) 494-5330
Mailing address
3314 SW US VETERANS HOSPITAL RD, PP262, PORTLAND, OR 97239-2940

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
091006588N1
OR
363LF0000X
Family Nurse Practitioner
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037403
OR
Enumeration date
07/31/2006
Last updated
07/16/2007
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