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Individual

LESLEY K SEGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12442 SW SCHOLLS FERRY RD, SUITE 100, TIGARD, OR 97223-3396
(503) 216-9900
(503) 216-9266
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD16096
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
028378
OR
Enumeration date
07/13/2006
Last updated
07/31/2012
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