Individual
JUSTIN JOHN LEITENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 418-3376
(503) 494-6968
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 418-3376
(503) 494-6968
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD157327
OR
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD157327
OR
Other
Enumeration date
06/20/2008
Last updated
06/13/2025
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