Organization
ORCHARDS FAMILY MEDICINE, INC. PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISE LEAF LELAND MD (PRESIDENT)
(360) 567-0488
Entity
Organization
Contact information
Practice address
9300 NE VANCOUVER MALL DR STE 201, VANCOUVER, WA 98662-8206
(360) 567-0488
(360) 567-0489
Mailing address
9300 NE VANCOUVER MALL DR STE 201, VANCOUVER, WA 98662-8206
(360) 567-0488
(360) 567-0489
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60285535
WA
207Q00000X
Family Medicine Physician
Primary
MD00044580
WA
213E00000X
Podiatrist
P0515
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
838530000
REGENCE BLUE CROSS GROUP
OR
Enumeration date
11/05/2006
Last updated
10/19/2015
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