Individual
DR. LESLIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3175 NE ALOCLEK DR, HILLSBORO, OR 97124-7135
(800) 813-2000
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25100
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023108
—
OR
05
—
8493561
—
WA
Enumeration date
05/16/2006
Last updated
09/20/2023
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