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Individual

DR. LESLIE A CAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
505 NE 87TH AVE, SUITE 301, VANCOUVER, WA 98664-1989
(360) 213-9955
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(360) 213-9955

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00027022
WA
208600000X
Surgery Physician
OR14546
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022946
OR
05
8309544
WA
Enumeration date
06/22/2006
Last updated
12/07/2007
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