Individual
DR. LEON BRUCE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O .
Contact information
Practice address
1040 NW 22ND AVE, SUITE 420, PORTLAND, OR 97210-3057
(503) 488-2424
(503) 229-7105
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
5101010950
MI
2084N0400X
Neurology Physician
Primary
DO29055
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1587703450
—
WA
05
—
4507651
—
MI
05
—
500628636
—
OR
01
—
P00141408
PALMETTO
—
Enumeration date
01/09/2007
Last updated
09/24/2013
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