Individual
LINDA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5135 SKYLINE RD S, SALEM, OR 97306-9427
(503) 588-6560
Mailing address
5135 SKYLINE RD S, SALEM, OR 97306-9427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8113
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
GENERAL PRACTICE
OR
Enumeration date
08/09/2006
Last updated
07/08/2007
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