Individual
LESLIE C ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1813 W HARVARD AVE STE 233, ROSEBURG, OR 97471-8704
(541) 391-7506
(541) 391-7503
Mailing address
1224 NE WALNUT ST # 384, ROSEBURG, OR 97470-2026
(541) 391-7506
(541) 391-7503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201394254NP PP
OR
363LF0000X
Family Nurse Practitioner
201394254NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50066907
—
OR
Enumeration date
12/11/2013
Last updated
01/09/2024
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