Individual
LEANEDA ROSE TESSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2005 NE HOOD CT, GRESHAM, OR 97030-2833
(503) 998-9125
Mailing address
2005 NE HOOD CT, GRESHAM, OR 97030-2833
(503) 998-9125
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
000039618RN
OR
Other
Enumeration date
10/02/2025
Last updated
10/03/2025
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