Individual
KATHRYN LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9280 SE SUNNYBROOK BLVD STE 300, CLACKAMAS, OR 97015-9353
(503) 233-5548
(503) 230-1009
Mailing address
9280 SE SUNNYBROOK BLVD STE 300, CLACKAMAS, OR 97015-9353
(503) 233-5548
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
65324
WI
207Y00000X
Otolaryngology Physician
Primary
MD192956
OR
Other
Enumeration date
04/08/2014
Last updated
02/04/2022
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