Individual
DR. DEREK JAMES LEINENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD STE MT-2800, PORTLAND, OR 97225-6603
(503) 216-2621
Mailing address
2494 NW ROGUE VALLEY TER, BEAVERTON, OR 97006-8143
(503) 530-8078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL18730
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL18730
OREGON LICENSE NUMBER
OR
Enumeration date
07/06/2009
Last updated
07/06/2009
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