Individual
STEPHANIE LEICHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 288-8066
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 288-8066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201902812RN
OR
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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