Individual
LEON ROSS AYLETT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP
Contact information
Practice address
1807 COVE AVE, LA GRANDE, OR 97850-3516
(541) 663-9008
(541) 624-5454
Mailing address
1807 COVE AVE, LA GRANDE, OR 97850-3516
(541) 663-9008
(541) 624-5454
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202208292NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
202208292-NP-PP
OR
Other
Enumeration date
02/06/2019
Last updated
02/04/2025
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