Individual
DR. DIANE LOUISE LEYBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
930 SW ABBEY ST STE B, NEWPORT, OR 97365-4820
(541) 574-7235
Mailing address
PO BOX 2847, CORVALLIS, OR 97339-2847
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
63118
AZ
207V00000X
Obstetrics & Gynecology Physician
MD29227
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092689
—
AZ
05
—
500609240
—
OR
01
—
63118
AZ STATE MEDICAL LICENSING
AZ
Enumeration date
08/10/2006
Last updated
08/22/2022
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