Individual
LESLI A SCARBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
885 SW 30TH ST, ONTARIO, OR 97914-4626
(541) 823-0101
(541) 823-0909
Mailing address
1292 W 1ST ST, WEISER, ID 83672-1522
(208) 414-0641
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
N-30382
ID
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
—
OR
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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