Organization
PREMISE HEALTH OF OREGON MEDICAL P C
Active
Other names
Occupational Health Services Roncler Acres 4
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
2501 NE CENTURY BLVD, HILLSBORO, OR 97124-5506
(502) 613-6266
(503) 214-5886
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
10/13/2022
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