Individual
MRS. LEIGH THACKSTON PAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7240 NE SANDY BLVD, PORTLAND, OR 97213-5741
(503) 477-6700
Mailing address
7240 NE SANDY BLVD, PORTLAND, OR 97213-5741
(503) 477-6700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA172112
OR
Other
Enumeration date
07/08/2015
Last updated
07/14/2016
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