Individual
MISS ANTONIA LEIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED.
Contact information
Practice address
2421 LANCASTER DR NE, SALEM, OR 97305-1220
(503) 588-5352
Mailing address
8827 NE SKIDMORE ST, PORTLAND, OR 97220-5029
(503) 257-0191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00020848
WA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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