Individual
GEORGE LEONARD VAN METER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10000 SE MAIN ST, SUITE 224, PORTLAND, OR 97216-2448
(503) 261-6961
(503) 261-6959
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900
(503) 261-6961
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00779
OR
Other
Enumeration date
11/14/2005
Last updated
09/18/2014
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