Individual
DR. JENNIFER W LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 W POPLAR ST, SUITE 100, WALLA WALLA, WA 99362-2858
(509) 522-5824
(509) 522-5738
Mailing address
PO BOX 34439, SEATTLE, WA 98124-1439
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD 60212127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417165382
—
WA
05
—
500635060
—
OR
Enumeration date
05/21/2007
Last updated
04/29/2025
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