Individual
PENELOPE ROXAS LEAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10860 SE OAK ST, MILWAUKIE, OR 97222-6694
(503) 652-8058
Mailing address
4314 SW VESTA ST, PORTLAND, OR 97219-7453
(847) 840-9707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201142524RN
OR
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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