Individual
DR. GEORGE PETE LESEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
700 NE MULTNOMAH ST, STE 840, PORTLAND, OR 97232
(503) 232-4488
(503) 239-4075
Mailing address
700 NE MULTNOMAH ST, STE 840, PORTLAND, OR 97232
(503) 232-4488
(503) 239-4075
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D-3163-OS
ID
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D6668
OR
Other
Enumeration date
08/02/2006
Last updated
06/17/2015
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