Individual
MS. LESLIE DIANE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C
Contact information
Practice address
535 NE 6TH AVE, ESTACADA, OR 97023-9312
(503) 630-8550
(503) 630-8551
Mailing address
8630 SE KING RD, HAPPY VALLEY, OR 97086-7402
(503) 913-8450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00823
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268490
—
OR
Enumeration date
05/02/2006
Last updated
08/05/2026
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