Individual
ROGER BARR LEVERETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15950 SW MILLIKAN WAY, BEAVERTON, OR 97006
(503) 646-0161
(503) 643-7459
Mailing address
15950 SW MILLIKAN WAY, BEAVERTON, OR 97006
(503) 646-0161
(503) 643-7459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15743
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008875
—
OR
Enumeration date
02/05/2007
Last updated
06/19/2012
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