Individual
DR. VIRGINIA LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4500
(503) 494-4473
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4500
(503) 494-4473
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD28877
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010070597
—
DC
05
—
035807100
—
DC
05
—
404923300
—
DC
05
—
500603443
—
OR
Enumeration date
01/24/2006
Last updated
10/20/2020
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