Individual
DR. LEONA MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-C
Contact information
Practice address
101 1ST ST, GLENDALE, OR 97442-9640
(541) 832-5400
Mailing address
1843 STARVEOUT CREEK RD, AZALEA, OR 97410-9701
(541) 837-8374
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
RN091484
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
201805000NPPP
OR
Other
Enumeration date
06/30/2006
Last updated
08/10/2020
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