Individual
DR. DEREK JAMES LEINENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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