Individual
DR. DEREK ALEXANDER LEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
819 SE MORRISON ST STE 115, PORTLAND, OR 97214-6308
(503) 956-9396
Mailing address
2722 NE 15TH AVE, PORTLAND, OR 97212-3302
(480) 262-6466
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4474
OR
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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